Mansour, M Ashraf

Mansour, M Ashraf is an individual health care provider with primary practice located at 4069 Lake Dr Se S-312, Grand Rapids MI 49546-8816. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Mansour, M Ashraf can be contacted via phone (616) 267-8700.

Contact Information

Primary practice address
4069 Lake Dr Se S-312 Grand Rapids MI 49546-8816
Phone: (616) 267-8700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 4301079138 Michigan

Profile Details

NPI number 1487697421
LBN Legal business name Mansour, M Ashraf
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Feb 25th, 2021 - about 3 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 1487697421 NPPES
Other 1558407189 GROUP NPI

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