Mansoori, Shahrokh

Mansoori, Shahrokh is an individual health care provider with primary practice located at 135 Barclay Cir Ste 109, Rochester Hills MI 48307-4599. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Mansoori, Shahrokh can be contacted via phone (248) 844-2980.

Contact Information

Primary practice address
135 Barclay Cir Ste 109 Rochester Hills MI 48307-4599
Fax: (248) 844-2983
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X SM038518 Michigan

Profile Details

NPI number 1053334177
LBN Legal business name Mansoori, Shahrokh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Apr 28th, 2010 - about 15 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 1053334177 NPPES
Michigan Other 3306336001 BLUE CROSS
Michigan MEDICAID 1404338 BLUE CROSS

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