Mansourov, Ramil

Mansourov, Ramil is an individual health care provider with primary practice located at 235 Main St , Norwalk CT 06851-2720. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine, Group / Groups of Doctors / Multi-Specialty. Group / Groups of Doctors / Multi-Specialty is his primary health care specialty. Mansourov, Ramil can be contacted via phone (203) 644-4775.

Contact Information

Primary practice address
235 Main St Norwalk CT 06851-2720
Phone: (203) 644-4775
Fax: (203) 547-6118
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9376 North Dakota
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 44050 Kentucky
Group / Groups of Doctors / Multi-Specialty 193200000X 040028 Connecticut

Profile Details

NPI number 1992768477
LBN Legal business name Mansourov, Ramil
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Jun 21st, 2016 - about 8 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 1992768477 NPPES
North Dakota Other 26162 BCBS
North Dakota MEDICAID 12543 BCBS

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