Provider Demographics
NPI:1073716742
Name:LATEEF, MUNSOOR (MD)
Entity Type:Individual
Prefix:DR
First Name:MUNSOOR
Middle Name:
Last Name:LATEEF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2903 PROFESSIONAL PARK DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-9388
Mailing Address - Country:US
Mailing Address - Phone:336-584-4913
Mailing Address - Fax:336-584-4914
Practice Address - Street 1:2903 PROFESSIONAL PARK DR
Practice Address - Street 2:SUITE D
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-9388
Practice Address - Country:US
Practice Address - Phone:336-584-4913
Practice Address - Fax:336-584-4914
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2008-01009207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology