Individual
KHALED MANSOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
131 MEDICAL PARK RD STE 303, MOORESVILLE, NC 28117-8525
(704) 660-2617
(704) 660-4107
Mailing address
131 MEDICAL PARK RD STE 303, MOORESVILLE, NC 28117-8525
(704) 660-2617
(704) 660-4107
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101259449
VA
207RI0011X
Interventional Cardiology Physician
0101259449
VA
207RI0011X
Interventional Cardiology Physician
Primary
2023-03505
NC
Other
Enumeration date
09/04/2009
Last updated
03/27/2024
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