Mansoorani, Roya

Mansoorani, Roya is an individual health care provider with primary practice located at 11 Crest Rd , Saint Albans VT 05478-9701. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Mansoorani, Roya can be contacted via phone (802) 527-8189.

Contact Information

Primary practice address
11 Crest Rd Saint Albans VT 05478-9701
Fax: (802) 527-8187
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 0420009551 Vermont
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 042-0009551 Vermont

Profile Details

NPI number 1073641890
LBN Legal business name Mansoorani, Roya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Jun 30th, 2023 - about 2 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 1073641890 NPPES
Vermont Other 38096 BLUE CROSS BLUE SHIELD
Vermont MEDICAID 1006271 BLUE CROSS BLUE SHIELD

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