Individual
DR. MEHRDAD ALI MANSOURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
2500 ALHAMBRA AVE, MARTINEZ, CA 94553-3156
(925) 370-5200
Mailing address
528 CLYNE CT, BENICIA, CA 94510-3842
(707) 365-7039
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
A101584
CA
Other
Enumeration date
10/18/2005
Last updated
02/11/2022
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