Mr. Asifhusen Abdulrahim Mansuri

M.D. | Pediatric Nephrology | Male

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Complete Profile:

Mr. Asifhusen Abdulrahim Mansuri basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Nephrology
Provider Name :	Mr. Asifhusen Abdulrahim Mansuri
Credential :	M.D.
Gender :	Male

Business Address:

Mr. Asifhusen Abdulrahim Mansuri address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1120 15th St Augusta, GA, 30912-7701 United States
Phone Number :	706-721-8623

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1699109579
NPI Entity Type :	Individual
First Enrolment Date :	27 Aug, 2013
Last Updated On :	07 May, 2018

Medicare Participation:

Mr. Asifhusen Abdulrahim Mansuri participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	1355623596
Medicare Enrollment ID :	I20180903000043
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	2002
Accepts Medicare?	Yes. Mr. Asifhusen Abdulrahim Mansuri accepts medicare insurance.

Group Practice Association:

Mr. Asifhusen Abdulrahim Mansuri is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Mr. Asifhusen Abdulrahim Mansuri is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Au Medical Associates Inc	9931013513	577	2470 Wrightsboro Rd Augusta, GA - 309046202 Ph: 7067216029	Yes
Au Medical Associates Inc	9931013513	577	1120 15th St Augusta, GA - 309120004 Ph: 7067216029	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Asifhusen Abdulrahim Mansuri are as mentioned. Primary taxonomy code for Mr. Asifhusen Abdulrahim Mansuri, M.D. is 2080P0210X (Pediatrics Pediatric Nephrology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0210X	Pediatrics Pediatric Nephrology	Yes	080136	GA
390200000X	Student in an Organized Health Care Education/Training Program	No	BP10048201	TX

Other Practice Locations:

Practice Address	City, State	Phone Number
1935 MEDICAL DISTRICT DR, DALLAS, TX, 75235-7701 United States	DALLAS, TX	214-456-2735

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	1499 Walton Way Ste 1400 Augusta, GA, 30901-2603 United States
Phone Number :	706-724-6100

Business Location:

Patients can refer following map for directions to Mr. Asifhusen Abdulrahim Mansuri practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.