Individual
MOHAMMAD MANSOURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8900 N KENDALL DR, MIAMI, FL 33176-2118
(178) 659-6196
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
275950
MA
2085N0700X
Neuroradiology Physician
Primary
ME170403
FL
2085R0202X
Diagnostic Radiology Physician
295442
MA
2085R0202X
Diagnostic Radiology Physician
ME170403
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2018
Last updated
09/22/2025
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