Ishrat Mansuri
M.D. | Pediatric Gastroenterology | Female
Ishrat Mansuri, M.D. is a Boston, Massachusetts based Pediatric doctor with medical specialization in
Pediatric Gastroenterology.
Current practice location of Ishrat Mansuri is
300 Longwood Ave, Boston, Massachusetts - 02115-5724. She can be contacted on phone at
617-355-6058 and fax number 617-730-4841.
Ishrat Mansuri is a sole proprietor of her business.
NPI number (Unique professional ID) for Ishrat Mansuri is
1922335835 which was assigned by NPPES on 13 Nov, 2009 and it was last updated on 07 Dec, 2021.
Ishrat Mansuri license number is
267632 for Pediatrics Pediatric Gastroenterology (2080P0206X) in Massachusetts.
Ishrat Mansuri specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Ishrat Mansuri basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
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| Provider Name : | Ishrat Mansuri |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Ishrat 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 : | 300 Longwood Ave
Boston, MA, 02115-5724
United States |
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| Phone Number : | 617-355-6058 |
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| Fax Number : | 617-730-4841 |
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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 : | 1922335835 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 13 Nov, 2009 |
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| Last Updated On : | 07 Dec, 2021 |
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Medicare Participation:
Ishrat Mansuri participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 4789832288 |
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| Medicare Enrollment ID : | I20170207002305 |
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| Primary Specialty : | Gastroenterology |
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| Medical School : | Other |
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| Graduation Year : | 2002 |
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| Accepts Medicare? | Yes. Ishrat Mansuri accepts medicare insurance. |
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Group Practice Association:
Ishrat 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 Ishrat Mansuri is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Children's Hospital Pediatric Associates, Inc | 3476541830 | 231 | 300 Longwood Ave
Boston, MA - 021155724
Ph: 6173556000 | 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 Ishrat Mansuri are as mentioned. Primary taxonomy code for Ishrat Mansuri, M.D. is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | No | 004124 | NY |
| 208000000X | Pediatrics | No | 106825 | MN |
| 208000000X | Pediatrics | No | 56984 | MN |
| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | 267632 | MA |
| 2080P0206X | Pediatrics Pediatric Gastroenterology | No | 56984 | MN |
Legacy Identifiers:
Other legacy medical identifiers of Ishrat Mansuri such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| ENROLLED | MEDICAID | MN | |
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 : | 300 Longwood Ave
Boston, MA, 02115-5724
United States |
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| Phone Number : | 617-355-6000 |
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Business Location:
Patients can refer following map for directions to
Ishrat 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.