National Provider Identifier Database

PETER K MANSURIPUR, MD – NPI #1588984306
Hand Surgery

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.


Contact Information

PETER K MANSURIPUR, MD
975 SERENO DR
VALLEJO, CA94589
Phone: 707-651-2549
Fax:
Website:
Specialty Taxonomy Code
* Hand Surgery 207XS0106X
Orthopaedic Surgery 207X00000X

* Indicates primary specialty

NPI Profile & details for PETER K MANSURIPUR

NPI Number 1588984306
Credentials MD
Entity Individual
Enumeration date 06/03/2010
Last updated 02/11/2022 - About 4 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: A140883
  • RI License #: 14894
  • RI License #: LP01956
  • RI Medicaid: 1588984306
Hospital affiliation n/a

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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