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Organization

SHAHID MANSOOR, M.D. A PROFESSIONAL MEDICAL CORPORATION

Active
Parent organization
SHAHID MANSOOR, MD APMC
Other names
Avoyelles Pediatrics
Organization subpart
Yes

Provider details

NPI number
Legal business name
SHAHID MANSOOR, MD APMC
Authorized official
MRS. KRISTA RACHAL (ADMINISTRATOR)
(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
338 MOREAU ST STE E, MARKSVILLE, LA 71351-2957
(318) 253-7022
(318) 253-7944

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
13654R
LA
261QR1300X
Rural Health Clinic/Center
Primary

Other

Enumeration date
01/10/2011
Last updated
03/09/2017
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