Individual
ARASH MANSOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 CAMBRIDGE ST, FREDERICKSBURG, VA 22405-1924
(540) 371-2020
(540) 373-0141
Mailing address
110 CAMBRIDGE ST, FREDERICKSBURG, VA 22405-1924
(540) 371-2020
(540) 373-0141
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101840394
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180037939
MEDICARE RAILROAD
VA
05
—
6308384
—
VA
Enumeration date
01/04/2006
Last updated
07/20/2023
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