Mansoor, Brandon M

Mansoor, Brandon M is an individual health care provider with primary practice located at 500 W Votaw St , Portland IN 47371-1322. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Mansoor, Brandon M can be contacted via phone (260) 726-1821.

Contact Information

Primary practice address
500 W Votaw St Portland IN 47371-1322
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301108185 Michigan
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01087994A Indiana

Profile Details

NPI number 1174905632
LBN Legal business name Mansoor, Brandon M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2015
Last updated Aug 3rd, 2022 - about 3 years ago

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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