Mansuri, Kaif Mohammed Yusuf

Mansuri, Kaif Mohammed Yusuf is an individual health care provider with primary practice located at 1006 S Division St , Carterville IL 62918. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mansuri, Kaif Mohammed Yusuf can be contacted via phone (618) 519-9200.

Contact Information

Primary practice address
1006 S Division St Carterville IL 62918
Phone: (618) 519-9200
Fax: (618) 985-3774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036145712 Illinois

Profile Details

NPI number 1326429242
LBN Legal business name Mansuri, Kaif Mohammed Yusuf
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2015
Last updated Dec 10th, 2020 - about 6 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 1326429242 NPPES
Illinois MEDICAID 036145712

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