Individual
DR. PIERROT ABI MANSOUR
Active
Individual
DR. PIERROT ABI MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036-071715
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
036-071715
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036071715
—
IL
01
—
060053886
PALMETTO GBA INDIVIDUAL #
IL
01
—
21622931
BCBS GROUP #
IL
01
—
CI8250
PALMETTO GBA GROUP #
IL
Enumeration date
08/25/2005
Last updated
12/17/2021
Update your record
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