Vazrick Mansourian, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

015589 Issued in CT

Practice address

136 Sherman Ave
Suite 308
New Haven, CT 06511-5238

Phone

(203) 776-5819

Fax

(203) 772-7906

NPI assigned

Jun 4, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Saint Raphael Faculty Physicians

  • Internal Medicine Physician
  • New Haven, CT
  • NPI 1932138138

  Surgery

  NPD (past)
• Saint Raphael Healthcare System Affiliated Physicians Inc

  • Neurology Physician
  • New Haven, CT
  • NPI 1063744001

  Surgery

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1023056462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 SHERMAN AVE",
            "address_2": "SUITE 308",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115238",
            "telephone_number": "203-776-5819",
            "fax_number": "203-772-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 SHERMAN AVE",
            "address_2": "SUITE 308",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115238",
            "telephone_number": "203-776-5819",
            "fax_number": "203-772-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSOURIAN",
        "first_name": "VAZRICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "015589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean M Mansfield, LPC
• Amir Jamal Mansour, MD
• Elie Mansour, MD
• Razan Mansour, MD
• Sherry George Mansour
• Zeeshan Mansuri, M.D., M.P.H.
• Marisa Mantero
• Juliet Owusuaa Manu, MD
• Kate E Manuel, APRN
• Nelle Elizabeth Manuel, LCSW

• Surgery Physician in New Haven, CT
• Providers in New Haven, CT by specialty
• Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.