Imad M Mansoor, MD Valid NPI

Individual provider · Internal Medicine Physician · Bloomfield Hills, MI

NPI

1699883082

Type

Individual (Type 1)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

4301407249 (MI)

Sex

Male

Sole proprietor

No

Enumerated

2006-08-27

Last updated

2019-03-29