Individual
NACIME SALOMAO BARBACHAN MANSUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
3333 N CALVERT ST, BALTIMORE, MD 21218-2867
(410) 554-6844
Mailing address
1213 CLEARFIELD CIR, TIMONIUM, MD 21093-4707
(319) 400-7911
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
T-1185
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D0104527
MARYLAND BOARD OF PHYSICIANS
MD
01
—
RTL24-1276
NORTH CAROLINA MEDICAL BOARD
NC
01
—
T-1185
BOARD NUMBER
IA
Enumeration date
09/19/2022
Last updated
08/02/2025
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