Individual
DR. KHUBAIB MANSORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
430 HIGHLAND AVE, CHESHIRE, CT 06410-2565
(919) 518-2115
Mailing address
430 HIGHLAND AVE, CHESHIRE, CT 06410-2565
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
025900
CT
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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