Mansour, John

Mansour, John is an individual health care provider with primary practice located at 6525 Powers Blvd # 301 , Parma OH 44129-5461. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Mansour, John can be contacted via phone (440) 882-0075.

Contact Information

Primary practice address
6525 Powers Blvd # 301 Parma OH 44129-5461
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 35-093298 Ohio
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35-093298 Ohio

Profile Details

NPI number 1306055777
LBN Legal business name Mansour, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Nov 20th, 2014 - about 11 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 1306055777 NPPES
Ohio MEDICAID 2955806

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