Mansuri, Ishrat

Mansuri, Ishrat is an individual health care provider with primary practice located at 300 Longwood Ave , Boston MA 02115-5724. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is her primary health care specialty. Mansuri, Ishrat can be contacted via phone (617) 355-6058.

Contact Information

Primary practice address
300 Longwood Ave Boston MA 02115-5724
Phone: (617) 355-6058
Fax: (617) 730-4841
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 56984 Minnesota
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 106825 Minnesota
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 004124 New York
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 56984 Minnesota
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 267632 Massachusetts

Profile Details

NPI number 1922335835
LBN Legal business name Mansuri, Ishrat
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2009
Last updated Dec 7th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922335835 NPPES
Minnesota MEDICAID ENROLLED

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