Cardiovascular Physicians PA

Organization Active NPI Cardiovascular Disease Physician · Greenville, MS

NPI 1962695569 · NPPES record last updated Oct 20, 2010

Key facts

NPI
1962695569
Entity type
Organization (NPI type 2)
Primary specialty
Cardiovascular Disease Physician 207RC0000X
Legal business name
CARDIOVASCULAR PHYSICIANS PA
Practice address
1315 E Union St
Greenville, MS 38703-3245
Phone
(662) 378-9191
Fax
(662) 378-5353
NPI assigned
Aug 27, 2007
Organization subpart
No

Authorized official

Name
Dr. Michael Mansour, M.D.
Title
Owner
Phone
(662) 378-9191

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207RC0000X Yes

Addresses

Primary practice location

1315 E Union St
Greenville, MS 38703-3245

Mailing address

PO Box 5219
Greenville, MS 38704-5219

Other identifiers

IdentifierTypeStateIssuer
CN7044OtherMSMEDICARE RAILROAD
09014784MedicaidMS
134988002OtherMEDICAID OF ARKANSAS

Other providers in Greenville, MS

All providers in Greenville, MS · Cardiovascular Disease Physician in Mississippi

Sources for this page

Verify at the official NPI Registry.