Individual
NASSIR HASSAN MONIM MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6001 E BROAD ST, COLUMBUS, OH 43213-1502
(614) 546-4621
(614) 546-4536
Mailing address
6001 E BROAD ST, COLUMBUS, OH 43213-1502
(614) 546-4621
(614) 546-4536
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
036134334
IL
207T00000X
Neurological Surgery Physician
285013-1
NY
207T00000X
Neurological Surgery Physician
Primary
35.144360
OH
207T00000X
Neurological Surgery Physician
4301104161
MI
207T00000X
Neurological Surgery Physician
MD450309
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-134334
STATE LICENSE
IL
01
—
285013
LICENSE
NY
01
—
35.144360
LICENSE
OH
Enumeration date
01/27/2009
Last updated
04/18/2022
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