Shahid Mansoor
Nephrologist
19 Vanasse Rd
Eastport
, Maine 04631-3860
Shahid Mansoor
Nephrologist
19 Vanasse Rd
Eastport
, Maine 04631-3860
(575) 446-5134
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About
Features
Specialties
- Nephrologist
Languages spoken
- English
Location
First Address
- Shahid Mansoor
- 2579 North Scenic Drive
- Alamogordo, NM
- Zip : 88310-9740
- Fax : (575) 446-5134
- Phone : (575) 446-5122
Second Address
- Shahid Mansoor
- 19 Vanasse Rd
- Eastport, ME
- Zip : 04631-3860
- Phone : (207) 853-9600
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RN0300X | Nephrologist | MD2010-0203 | NM |
National Provider Identifier
| NPI | 1053301747 |
|---|---|
| Provider Name | Shahid Mansoor |
| First Address | Alamogordo, NM 88310-9740 |
| Second Address | Eastport, ME 04631-3860 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/10/2005 |
| Last Update Date | 30/11/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 221810099 | (05) | ME |
| G70552 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.