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NPI Code Detail

MEDICARE: DR. YASIN MANSOOR MD

MEDICARE:  DR. YASIN  MANSOOR  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
12084P0800XPsychiatry PhysicianC52859CA

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 : 1760448054
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YASIN MANSOOR MD
Provider Business Mailing Address
First Line : 32667 KENITA WAY
Second Line :
City : UNION CITY
State : CA
Zip : 94587-3001
Country : US
Telephone Number : 510-695-5397
Fax Number :
Provider Business Practice Location Address
First Line : 511 ESTUDILLO AVE
Second Line :
City : SAN LEANDRO
State : CA
Zip : 94577-4611
Country : US
Telephone Number : 510-746-7480
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2006
Last Update Date : 02/21/2012

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Directions to “ DR. YASIN MANSOOR MD” Practice Location

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