Mirza, Mansoor Hussain

Mirza, Mansoor Hussain is an individual health care provider with primary practice located at 2414 Kohler Memorial Drive , Sheboygan WI 53081-3129. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mirza, Mansoor Hussain can be contacted via phone (920) 457-4461.

Contact Information

Primary practice address
2414 Kohler Memorial Drive Sheboygan WI 53081-3129
Phone: (920) 457-4461
Fax: (920) 459-1483
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 48060 Wisconsin
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 48060 Wisconsin

Profile Details

NPI number 1508974502
LBN Legal business name Mirza, Mansoor Hussain
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Mar 20th, 2024 - about 8 months 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 1508974502 NPPES
Wisconsin Other P00138179 NETWORK HEALTH PLAN
Wisconsin Other P00252461 NETWORK HEALTH PLAN
Wisconsin Other 132679 NETWORK HEALTH PLAN
Wisconsin Other 390806395002 NETWORK HEALTH PLAN
Wisconsin MEDICAID 34652100 NETWORK HEALTH PLAN

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