Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK MANSOUR, M.D.
ActiveDR. MARK MANSOUR, M.D. is a Rheumatology healthcare provider located in CAMERON PARK, California. NPI 1073597241 is currently active in the NPPES registry. Verify at CMS.
Rheumatology · CAMERON PARK, CA
Registration Details
- NPI Number
- 1073597241
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 1, 2005 (20.520180333542 yrs)
- Last Updated
- Oct 12, 2015
- Licenses
-
A86841 (CA)A86841 (CA)
Practice Information
- Address
-
3501 PALMER DRSUITE 201CAMERON PARK, CA, 956828276Browse CA providers · Browse ZIP 95682
- Phone
- 5306727040
- Primary Specialty
-
Rheumatology
207RR0500X
- Additional Specialty
- Rheumatology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.