Individual
RAMY MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5701 BOW POINTE DR STE 370, CLARKSTON, MI 48346-5403
(248) 625-4055
Mailing address
5701 BOW POINTE DR # 370, CLARKSTON, MI 48346-3198
(248) 625-4055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101020250
MI
207RG0100X
Gastroenterology Physician
Primary
5101020250
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5101020250
MEDICAL LICENSE
MI
01
—
5315059035
CONTROLLED SUBSTANCE LICENSE
MI
Enumeration date
04/16/2013
Last updated
10/18/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us