Roozbeh Mansour M.D.

NPI 1063745388 - Surgery - 208600000X

NPI Details
NPI 1063745388
Gender Male
Enumeration Date 09/18/2009
Last Updated 07/15/2015
Entity Type Individual
Active Over 7 years ago
Practice Location
701 GROVE RD
ATT: RESIDENCY COORDINDATOR
GREENVILLE SC, 29605-4210, US
Phone (864) 455-7886
Fax
Business Location
1 INDEPENDENCE PT STE 212
ATT: RESIDENT
GREENVILLE SC, 29615-4536, US
Phone (864) 455-7886
Fax
Toxanomy
Taxonomy Code 208600000X
License State Michigan
License Number 4301092120
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According to our database, Dr. Roozbeh Mansour M.D. NPI is 1063745388, taxonomy code is 208600000X and license number is 4301092120, license state is located at Michigan. Roozbeh Mansour M.D. physically located at 701 Grove Rd, Greenville SC, 29605-4210. NPI Number Roozbeh Mansour M.D. has the Individual type.

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1063745388 NPI number is provided on an as is basis without warranty of any kind. 1063745388 is maintained by the National Plan & Provider Enumeration System. The contents of Roozbeh Mansour M.D. are for informational purposes only.