Individual
DR. SHAHID MANSOOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 MEDICAL CENTER DR STE 3A, ALEXANDRIA, LA 71301
(318) 484-3899
(318) 484-3887
Mailing address
501 MEDICAL CENTER DR STE 3A, ALEXANDRIA, LA 71301
(318) 484-3899
(318) 484-3887
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13654 R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1435350
—
LA
Enumeration date
10/03/2006
Last updated
02/13/2017
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