Individual
DR. SHAHROKH MANSOORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
135 BARCLAY CIR, STE 109, ROCHESTER HILLS, MI 48307-4599
(248) 844-2980
(248) 844-2983
Mailing address
135 BARCLAY CIR, STE 109, ROCHESTER HILLS, MI 48307-4599
(248) 844-2980
(248) 844-2983
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
SM038518
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1404338
—
MI
01
—
3306336001
BLUE CROSS
MI
Enumeration date
07/26/2006
Last updated
04/28/2010
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