Mansouri, Amanda
Mansouri, Amanda is an individual health care provider with primary practice located at 4701 Monterey Oaks Blvd Apt 325 Not A Physical Location, Austin TX 78749-1083. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Mansouri, Amanda can be contacted via phone (865) 274-1074.Contact Information
Primary practice address
4701 Monterey Oaks Blvd Apt 325 Not A Physical Location
Austin TX 78749-1083
Phone: (865) 274-1074
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 62255 | Tennessee |
Profile Details
| NPI number | 1407205354 |
|---|---|
| LBN Legal business name | Mansouri, Amanda |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2016 |
| Last updated | Jun 19th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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