Provider Demographics
NPI:1487632048
Name:SALEH, MANSOOR N (MD)
Entity Type:Individual
Prefix:DR
First Name:MANSOOR
Middle Name:N
Last Name:SALEH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1835 SAVOY DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30341-1072
Mailing Address - Country:US
Mailing Address - Phone:678-288-9555
Mailing Address - Fax:678-288-9556
Practice Address - Street 1:1100 JOHNSON FERRY RD NE
Practice Address - Street 2:SUITE 600
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30342-1709
Practice Address - Country:US
Practice Address - Phone:404-256-4777
Practice Address - Fax:404-256-5515
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2014-03-06
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Provider Licenses
StateLicense IDTaxonomies
GA038352207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000841541AMedicaid
GA83BBBNWMedicare PIN
GAC74017Medicare UPIN