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

DR. AZAD MANSOURI, MD

Active

Ophthalmology · JONESBORO, GA

Registration Details

NPI Number
1477744068
Provider Type
Individual
Gender
Male
NPI Issued
Aug 7, 2007 (18.755200517348 yrs)
Last Updated
Jan 10, 2022
Licenses
0101247198 (VA)
D70402 (MD)
2006017512 (MO)
076153 (GA)

Practice Information

Address
2400 MOUNT ZION PKWY
KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER
JONESBORO, GA, 302362500
Browse GA providers · Browse ZIP 30236
Phone
4103374500
Fax
4103397326
Primary Specialty
Ophthalmology
207W00000X
Additional Specialty
Ophthalmology
Additional Specialty
Ophthalmology
Additional Specialty
Ophthalmology

Other Ophthalmology Providers in JONESBORO, GA

Name Credential NPI
DR. PRATHIMA THUMMA WARRIER M.D. 1487824272
DR. EMILY KING DESCHLER M.D. 1003077033
MR. ANJUM SHARIF CHEEMA M.D. 1205064441
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.