DR. Shaheda M Mansuri, MD

NPI #1598701401 in Du Quoin, Illinois

Provider Information

NPI Number: 1598701401
Entity Type: Individual
Name: DR. Shaheda M Mansuri, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Credential: MD
Enumeration Date: Jun 20, 2006
Last Updated: Aug 26, 2019

Practice Location

Address: 1564 S WASHINGTON ST
City: Du Quoin
State: Illinois
ZIP Code: 62832-3849
Phone: (618) 542-8702

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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