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

DR. IZZUDDIN ALI MANSUR, M.D.

Active Sole Proprietor

DR. IZZUDDIN ALI MANSUR, M.D. is a Urology healthcare provider located in CROSSVILLE, Tennessee. NPI 1508828344 is currently active in the NPPES registry. Verify at CMS.

Urology · CROSSVILLE, TN

Registration Details

NPI Number
1508828344
Provider Type
Individual
Gender
Male
NPI Issued
Apr 5, 2006 (20.390499052489 yrs)
Last Updated
Jun 14, 2021
License
MD30604 (TN)
Sole Proprietor
Yes

Practice Information

Address
49 CLEVELAND ST
SUITE 220
CROSSVILLE, TN, 385552855
Browse TN providers · Browse ZIP 38555
Phone
9317078050
Fax
9317078048
Primary Specialty
Urology
208800000X

Other Urology Providers in CROSSVILLE, TN

Name Credential NPI
DR. WILLIAM M. YOUNG M.D.. 1952308421
WILLIAM P DUTTON M.D. 1861472888
PAUL EDWARD HENSON III MD 1699722892
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.