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NPI Code Detail

MEDICARE: DR. JEYLAN A EL-MANSOURY MD

MEDICARE: DR. JEYLAN A EL-MANSOURY MD
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
1207W00000XOphthalmology Physician18817NV
2207W00000XOphthalmology PhysicianMD058408LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639157720
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEYLAN A EL-MANSOURY MD
Provider Business Mailing Address
First Line : 5871 W CRAIG RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-2575
Country : US
Telephone Number : 702-724-2020
Fax Number : 702-724-2800
Provider Business Practice Location Address
First Line : 5871 W CRAIG RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-2575
Country : US
Telephone Number : 702-724-2020
Fax Number : 702-724-2800
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2006
Last Update Date : 03/12/2024

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Directions to “ DR. JEYLAN A EL-MANSOURY MD” Practice Location

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