Azad Mansouri is a Ophthalmology in Jonesboro, Georgia. Azad Mansouri practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Azad Mansouri is 1477744068. The last update date is 2022-01-10.
Azad Mansouri's current location address is 2400 Mount Zion Pkwy, Jonesboro, Georgia. You can contact this provider via phone number 4103374500 and fax number 4103397326. The mailing address for Azad Mansouri is 2400 Mount Zion Pkwy, Jonesboro, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Azad Mansouri |
|---|---|
| Address | 2400 Mount Zion Pkwy, Jonesboro, Georgia |
| Phone Number | 4103374500 |
| Fax Number | 4103397326 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1477744068 |
|---|---|
| Provider Enumeration Date | 2007-08-07 |
| Last Updated Date | 2022-01-10 |
Provider Mailing Address Detail
| Address | 2400 Mount Zion Pkwy |
|---|---|
| City | Jonesboro |
| State | Georgia (GA) |
| Post Code | 302362500 |
| Phone Number | 4103374500 |
| Fax Number | 4103397326 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | 101247198 |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1477744068 | VA | -- | |
| 33505300 | MD | -- | |
| 78242200 | DC | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Azad Mansouri by the Centers for Medicare & Medicaid Services?
The Azad Mansouri has been issued the NPI (National Provider Identifier) 1477744068. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Azad Mansouri is located?
The Azad Mansouri is situated at the following address: 2400 Mount Zion Pkwy, Jonesboro, GA, 302362500.
What is Azad Mansouri's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Azad Mansouri's specialized field of practice is Ophthalmology, and the corresponding taxonomy code that categorizes this area of specialization is 207W00000X.
On what date did Azad Mansouri receive its 1477744068 assignment from the Centers for Medicare & Medicaid Services?
The Azad Mansouri was assigned its 1477744068 on 2007-08-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Azad Mansouri's details last updated?
The information pertaining to the Azad Mansouri, including its address, specialty, and other details, was most recently updated on 2022-01-10.