| Doctor Name: | DR. MOHAMED MANSOUR .MD |
| NPI Number: | 1871809442 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 4301105543 |
| Business Practice Address: | 8750 Telegraph Rd Suite 100 Taylor, MI - 481802397 |
| Business Phone Number: | 3135061776 |
| Business Fax Number: | |
| Mailing Address: | 8750 Telegraph Rd, Suite 100 TAYLOR |
| State: | MI |
| Postal Code: | 481802397 |
| Phone Number: | 3135061776 |
| Fax Number: | |
| NPI Enumeration Date: | 08/20/2010 |
| NPI Last Update Date: | 02/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 4301105543 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |