Mansoor, Shahid

Mansoor, Shahid is an sole proprietor health care provider with primary practice located at 501 Medical Center Dr Ste 3A , Alexandria LA 71301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mansoor, Shahid can be contacted via phone (318) 484-3899.

Contact Information

Primary practice address
501 Medical Center Dr Ste 3A Alexandria LA 71301
Fax: (318) 484-3887
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 13654 R Louisiana

Profile Details

NPI number 1710072012
LBN Legal business name Mansoor, Shahid
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Feb 13th, 2017 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710072012 NPPES
Louisiana MEDICAID 1435350

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