Individual
SHIVA MANSOURKHANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 N MESA ST, EL PASO, TX 79902
(915) 215-6170
(915) 215-8659
Mailing address
440 RAYNOLDS ST DEPT OF, EL PASO, TX 79905-1613
(915) 215-4480
(915) 215-5386
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
P5417
TX
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
P5417
TX
Other
Enumeration date
07/01/2009
Last updated
02/11/2022
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