Ahmad, Mansoor

Ahmad, Mansoor is an individual health care provider with primary practice located at 112 Ne Crescent Ave , Peoria IL 61606-1901. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Ahmad, Mansoor can be contacted via phone (309) 672-4670.

Contact Information

Primary practice address
112 Ne Crescent Ave Peoria IL 61606-1901
Phone: (309) 672-4670
Fax: (309) 672-4669
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036.128536 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125055157 Illinois

Profile Details

NPI number 1194059600
LBN Legal business name Ahmad, Mansoor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2009
Last updated Feb 22nd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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