Individual
BITA MANSOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2145 MOUNT PLEASANT BLVD SE, ROANOKE, VA 24014
(540) 427-9200
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101249669
VA
207P00000X
Emergency Medicine Physician
26298
NV
207P00000X
Emergency Medicine Physician
Primary
MD61682674
WA
207Q00000X
Family Medicine Physician
116020786
VA
208M00000X
Hospitalist Physician
0101249669
VA
Other
Enumeration date
06/27/2008
Last updated
10/22/2025
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