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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ESRAA AHMED MOHAMED SHOKRY MANSOR, M.D

Deactivated

DR. ESRAA AHMED MOHAMED SHOKRY MANSOR, M.D is a Internal Medicine healthcare provider located in CHARLESTON, West Virginia. NPI 1417453416 is deactivated in the NPPES registry. Verify at CMS.

Internal Medicine · CHARLESTON, WV

This NPI has been deactivated. The record was deactivated on November 1, 2018. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1417453416
Provider Type
Individual
Gender
Female
NPI Issued
Mar 30, 2018 (0.59178082191781 yrs)
Last Updated
Dec 10, 2021
Deactivated
Nov 1, 2018
License
30587 (WV)

Practice Information

Address
3200 MACCORKIE AVENUE SOUTHEAST.
ROBERT C. BIRD CLINICAL TRAINING CENTER, 4TH FLOOR.
CHARLESTON, WV, 25304
Browse WV providers · Browse ZIP 25304
Phone
3043885590
Fax
3043888238
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Internal Medicine

Other Internal Medicine Providers in CHARLESTON, WV

Name Credential NPI
DR. RICHARD A. CAPITO MD 1407858772
BRADLEY D HENRY M.D. 1679573786
JACK L KINDER M.D. 1831199959
WILLIAM R JEFFREY MD 1285620385
BALAKRISHNAN SRIDHARAN MD 1881685550
AMER MALAS MD 1730170499
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.