Owaise Mansuri MD

NPI 1124280409 - Internal Medicine - 207R00000X

NPI Details
NPI 1124280409
Gender Male
Enumeration Date 06/27/2008
Last Updated 05/07/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
1813 W KIRBY AVE
CHAMPAIGN IL, 61821-5410, US
Phone (217) 383-3490
Fax (217) 383-3439
Business Location
611 W PARK ST
BWPC
URBANA IL, 61801-2529, US
Phone (217) 383-6792
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Illinois
License Number 125-054604
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According to our database, Owaise Mansuri MD NPI is 1124280409, taxonomy code is 207R00000X and license number is 125-054604, license state is located at Illinois. Owaise Mansuri MD physically located at 1813 W Kirby Ave, Champaign IL, 61821-5410. NPI Number Owaise Mansuri MD has the Individual type.

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1124280409 NPI number is provided on an as is basis without warranty of any kind. 1124280409 is maintained by the National Plan & Provider Enumeration System. The contents of Owaise Mansuri MD are for informational purposes only.