Organization
SHAHROKH H MANSOORI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHROKH MANSOORI MD (OWNER)
(248) 844-2980
Entity
Organization
Contact information
Practice address
135 BARCLAY CIR, SUITE 109, ROCHESTER HILLS, MI 48307-4599
(248) 844-2980
(248) 844-2983
Mailing address
135 BARCLAY CIR, SUITE 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
01/15/2008
Last updated
07/27/2010
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