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Contact Information

MOUHAMAD MANSOUR, MD
1300 ANNE ST NW
BEMIDJI, MN56601
 Phone: 218-333-5000
 Fax: 218-333-4961
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MOUHAMAD MANSOUR · (Male)

NPI # 1851523500
Status Active
Credentials MD
Entity Individual
Enumeration date 08/13/2009
Last updated 09/18/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301094037
  • MN License # 63889
  • WA License # MD60541420
Hospital affiliation(s)
  • DELTA COUNTY MEMORIAL HOSPITAL - (Acute Care)
    1501 E 3RD STREET
    DELTA, CO 81416
  • ST MARYS HOSPITAL AND MEDICAL CENTER - (Acute Care)
    2635 N 7TH STREET
    GRAND JUNCTION, CO 81502
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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