Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 0445141 | KS |
N | 207RN0300X | Nephrologist | 27287 | NE |
N | 207RN0300X | Nephrologist | MD199537 | OR |
NPI | 1033541610 |
---|---|
Provider Name | Dr. Abeera Mansur |
First Address | Corvallis, OR 97339-1189 |
Second Address | Garden City, KS 67846-5614 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2013 |
Last Update Date | 10/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
76 | (05) | NE |