Healthcare Provider Details

I. General information

NPI: 1033641709
Provider Name (Legal Business Name): AATIF MANSOOR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2017
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 BOISE AVE
LOVELAND CO
80538-5006
US

IV. Provider business mailing address

2000 BOISE AVE
LOVELAND CO
80538-5006
US

V. Phone/Fax

Practice location:
  • Phone: 970-820-4640
  • Fax:
Mailing address:
  • Phone: 970-820-4640
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberDR.0068292
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: