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SHAHID MANSOOR M.D. A PROFESSIONAL MEDICAL CORPORATION NPI 1710281431


NPI Information

NPI: 1710281431
Provider Name: SHAHID MANSOOR, M.D. A PROFESSIONAL MEDICAL CORPORATION

Doing Business As: AVOYELLES PEDIATRICS

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 19D2015582

Address:
501 MEDICAL CENTER DR STE 3A
ALEXANDRIA, LA
ZIP 71301
Phone: (318) 484-3899
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SHAHID MANSOOR, M.D. A PROFESSIONAL MEDICAL CORPORATION is a rural health clinic center in Alexandria, LA. SHAHID MANSOOR, M.D. A PROFESSIONAL MEDICAL CORPORATION NPI is 1710281431. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Avoyelles Pediatrics.

The provider's business location address is:

501 MEDICAL CENTER DR STE 3A
ALEXANDRIA, LA
ZIP 71301-124
Phone: (318) 484-3899
Fax: (318) 484-3887

The provider's authorized official is Krista Rachal .
The authorized official title is Administrator and has the following contact phone number (318) 484-3899.

The CLIA number assigned to this NPI record is 19D2015582 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/10/2011 and was last updated on 3/9/2017.


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
1208000000XPediatrics13654RLOUISIANANo
2261QR1300XClinic/CenterRural HealthYes

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

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