Salim Y. Mansoor M.D., P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

D0024441 Issued in MD

Legal business name

SALIM Y. MANSOOR M.D., P.A.

Practice address

7501 Surratts Rd Ste 110
Clinton, MD 20735-3350

Phone

(301) 856-8155

Fax

(240) 244-5222

NPI assigned

Sep 19, 2013

Organization subpart

No

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

Authorized official

Name

Salim Y. Mansoor, M.D.

Title

President

Phone

(301) 856-8155

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1689000879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 SURRATTS RD STE 110",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353350",
            "telephone_number": "301-856-8155",
            "fax_number": "240-244-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 SURRATTS RD STE 110",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353350",
            "telephone_number": "301-856-8155",
            "fax_number": "240-244-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALIM Y. MANSOOR M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "MANSOOR",
        "authorized_official_first_name": "SALIM",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-856-8155",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0024441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Clinton, MD
• Providers in Clinton, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.