Individual
ROYA MANSOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD25216
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275376
—
OR
05
—
7064942
—
WA
Enumeration date
02/22/2006
Last updated
11/07/2024
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