Mansour, Michael

Mansour, Michael is an sole proprietor health care provider with primary practice located at 1700 Spring Hill Ave Ste 100 , Mobile AL 36604-1416. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Mansour, Michael can be contacted via phone (251) 435-1200.

Contact Information

Primary practice address
1700 Spring Hill Ave Ste 100 Mobile AL 36604-1416
Phone: (251) 435-1200
Fax: (251) 435-6357
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 10715 Mississippi
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 44178 Alabama

Profile Details

NPI number 1326077058
LBN Legal business name Mansour, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2006
Last updated Jun 8th, 2022 - about 4 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 1326077058 NPPES
Other 134987001 MEDICAID OF ARKANSAS
MEDICAID 00118990 MEDICAID OF ARKANSAS
Other 060048938 MEDICAID OF ARKANSAS

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