Provider Demographics
NPI:1760618987
Name:NON-INVASIVE COSMETICS LTD
Entity Type:Organization
Organization Name:NON-INVASIVE COSMETICS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MANSOUR
Authorized Official - Middle Name:G
Authorized Official - Last Name:PANAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-262-6363
Mailing Address - Street 1:14300 GALLANT FOX LN STE 203
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20715-4033
Mailing Address - Country:US
Mailing Address - Phone:301-262-6363
Mailing Address - Fax:301-805-8700
Practice Address - Street 1:14300 GALLANT FOX LN
Practice Address - Street 2:SUITE 203
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20715-4003
Practice Address - Country:US
Practice Address - Phone:301-262-6363
Practice Address - Fax:301-805-8700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-02
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD15506207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty