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MANSOUR ELTAHER KHADDR M.D. NPI 1124384797


NPI Information

NPI: 1124384797
Provider Name: MANSOUR ELTAHER KHADDR, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Organization: CASPER CARDIOLOGY

PECOS Registration: Yes

Address:
1453A DEWAR DR
ROCK SPRINGS, WY
ZIP 82901
Phone: (307) 382-2466
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Mansour Eltaher Khaddr, M.D. is a cardiovascular disease internal medicine in Rock Springs, WY with 18 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Mansour Eltaher Khaddr, M.D. NPI is 1124384797. 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:

1453A DEWAR DR
ROCK SPRINGS, WY
ZIP 82901-812
Phone: (307) 382-2466
Fax: (888) 395-0359

The NPI 1124384797 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/8/2012 and was last updated on 6/23/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular Disease12748AWYOMINGYes
2207RI0011XInternal MedicineInterventional Cardiology12748AWYOMINGNo

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.