STEFAN MANSOURIAN MD NPI 1063694081

NPI Information

NPI: 1063694081
Provider Name: STEFAN MANSOURIAN, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
950 CAMPBELL AVE
DEPARTMENT OF RADIOLOGY
WEST HAVEN, CT
ZIP 06516
Phone: (203) 932-5711
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Stefan Mansourian, MD is a diagnostic radiology radiology in West Haven, CT. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Stefan Mansourian, MD NPI is 1063694081. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

950 CAMPBELL AVE
DEPARTMENT OF RADIOLOGY
WEST HAVEN, CT
ZIP 06516-770
Phone: (203) 932-5711

The enumeration date for this NPI number is 11/30/2007 and was last updated on 11/18/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	54766	CONNECTICUT	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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