Individual
DR. AZAD MANSOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 MOUNT ZION PKWY, KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER, JONESBORO, GA 30236-2500
(410) 337-4500
(410) 339-7326
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 504-5678
(410) 339-7326
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0101247198
VA
207W00000X
Ophthalmology Physician
Primary
076153
GA
207W00000X
Ophthalmology Physician
2006017512
MO
207W00000X
Ophthalmology Physician
D70402
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033505300
—
MD
05
—
078242200
—
DC
05
—
1477744068
—
VA
Enumeration date
08/07/2007
Last updated
01/10/2022
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