MANSOOR AHMAD M.D
Individual Provider (NPI-1)
Active
Internal Medicine, Cardiovascular Disease
Provider Information
- NPI Number
1194059600- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D
- Status
- Active
Contact & Location
- Address
- 112 NE CRESCENT AVE, PEORIA, IL, 616061901
- Phone
- (309) 672-4670
- Fax
- (309) 672-4669
Specialties & Taxonomies
Internal Medicine, Cardiovascular Disease
Primary License: IL #036.128536
Internal Medicine
License: IL #125055157