Mansour, Alaa Naim

Mansour, Alaa Naim is an individual health care provider with primary practice located at 17000 Executive Plaza Dr Ste 101 , Dearborn MI 48126-2793. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Mansour, Alaa Naim can be contacted via phone (313) 565-4948.

Contact Information

Primary practice address
17000 Executive Plaza Dr Ste 101 Dearborn MI 48126-2793
Phone: (313) 565-4948
Fax: (313) 565-4989
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 5901002591 Michigan

Profile Details

NPI number 1962885699
LBN Legal business name Mansour, Alaa Naim
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2015
Last updated Oct 21st, 2019 - about 5 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 1962885699 NPPES
Indiana MEDICAID 300013898

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