Organization
SHAHID MANSOOR MD, APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHID MANSOOR MD (OWNER/OPERATOR)
(318) 484-3899
Entity
Organization
Contact information
Practice address
501 MEDICAL CENTER DR STE 3A, ALEXANDRIA, LA 71301-8124
(318) 484-3899
(318) 484-3887
Mailing address
501 MEDICAL CENTER DR STE 3A, ALEXANDRIA, LA 71301-8124
(318) 484-3899
(318) 484-3887
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13654R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1161110
—
LA
05
—
1314579
—
LA
05
—
1435350
—
LA
05
—
1445215
—
LA
Enumeration date
09/14/2006
Last updated
10/25/2007
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