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NPI Code Detail

MEDICARE: DR. MUHAMMAD A. MANSOOR M.D.

MEDICARE: DR. MUHAMMAD A. MANSOOR M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology Physician30700NE

General Provider Information

NPI Number : 1659722973
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MUHAMMAD A. MANSOOR M.D.
Provider Business Mailing Address
First Line : 1650 COCHRANE CIR UNIT MEDDAC
Second Line :
City : FORT CARSON
State : CO
Zip : 80913-4604
Country : US
Telephone Number : 719-526-7453
Fax Number :
Provider Business Practice Location Address
First Line : 1650 COCHRANE CIR UNIT MEDDAC
Second Line :
City : FORT CARSON
State : CO
Zip : 80913-4604
Country : US
Telephone Number : 719-526-7453
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2016
Last Update Date : 01/08/2026

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