Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MANSOUR ELTAHER KHADDR, M.D.
ActiveMANSOUR ELTAHER KHADDR, M.D. is a Cardiovascular Disease healthcare provider located in ROCK SPRINGS, Wyoming. NPI 1124384797 is currently active in the NPPES registry. Verify at CMS.
Cardiovascular Disease · ROCK SPRINGS, WY
Registration Details
- NPI Number
- 1124384797
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 8, 2012 (14.371509270479 yrs)
- Last Updated
- Mar 25, 2024
- Licenses
-
12748A (WY)12748A (WY)
Practice Information
- Address
-
1204 HILLTOP DR STE 106ROCK SPRINGS, WY, 829015861Browse WY providers · Browse ZIP 82901
- Phone
- 3075225555
- Fax
- 8888195155
- Primary Specialty
-
Cardiovascular Disease
207RC0000X
- Additional Specialty
- Cardiovascular Disease
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.