Mansuri, Ishrat
Mansuri, Ishrat is an individual health care provider with primary practice located at 300 Longwood Ave , Boston MA 02115-5724. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is her primary health care specialty. Mansuri, Ishrat can be contacted via phone (617) 355-6058.Contact Information
Primary practice address
300 Longwood Ave
Boston MA 02115-5724
Phone: (617) 355-6058
Fax: (617) 730-4841
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 56984 | Minnesota |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 106825 | Minnesota |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 004124 | New York |
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 56984 | Minnesota |
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 267632 | Massachusetts |
Profile Details
| NPI number | 1922335835 |
|---|---|
| LBN Legal business name | Mansuri, Ishrat |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 13th, 2009 |
| Last updated | Dec 7th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922335835 | NPPES |
| Minnesota | MEDICAID | ENROLLED |
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