Faiz Mansour, M.D., P.C.

LBN: Faiz Mansour, M.D., P.C.
Faiz Mansour, M.D., P.C. is an health care organization with primary practice located at 10 W Square Lake Rd Suite 202, Bloomfield Hills MI 48302-0465. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Faiz Mansour, M.D., P.C. can be contacted via phone (248) 452-9500, or through Mansour, Faiz via phone (248) 334-3792.

Contact Information

Primary practice address
10 W Square Lake Rd Suite 202 Bloomfield Hills MI 48302-0465
Phone: (248) 452-9500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mansour, Faiz
Phone: (248) 334-3792

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X 4301059179 Michigan

Profile Details

NPI number 1770769630
LBN Legal business name Faiz Mansour, M.D., P.C.
DBA Doing business as
Authorized official Mansour, Faiz
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2008
Last updated May 20th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770769630 NPPES
Michigan MEDICAID 4255901

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