Stefan Mansourian, MD
Radiology, Diagnostic Radiology in West Haven, Connecticut
1063694081- Practice location
- 950 Campbell Ave, Department Of Radiology, West Haven, CT 06516-2770
- Phone
- 203-932-5711
- Fax
- —
- Last updated
- November 18, 2015
Stefan Mansourian is a Radiology, Diagnostic Radiology based in West Haven, CT. Stefan Mansourian practices in West Haven, CT and has the professional credentials of MD. The NPI Number for Stefan Mansourian is 1063694081 and holds a License No. 54766 (CT). The current practice location address for Stefan Mansourian is 950 Campbell Ave, Department Of Radiology, West Haven, CT 06516-2770 and can be reached out via phone at 203-932-5711.
Provider Profile Details
- NPI Number
- 1063694081
- Provider Name
- Stefan Mansourian
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 950 Campbell Ave, Department Of Radiology, West Haven, CT 06516-2770
- Phone Number
- 203-932-5711
- Primary Taxonomy
- Radiology, Diagnostic Radiology · 2085R0202X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 30, 2007
- Last Update Date
- November 18, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 950 Campbell Ave
Department Of Radiology
West Haven, CT 06516-2770 - City
- West Haven
- State
- Connecticut
- Zip
- 06516-2770
- Phone Number
- 203-932-5711
Provider Business Mailing Address Details
- Address
- 950 Campbell Ave
Department Of Radiology
West Haven, CT 06516-2770 - City
- West Haven
- State
- CT
- Zip
- 06516-2770
License Information
- License Number
- 54766
- License State
- CT
- Taxonomy
- Radiology, Diagnostic Radiology · 2085R0202X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Stefan Mansourian, MD?
The NPI number of Stefan Mansourian, MD is 1063694081. It was assigned on November 30, 2007 and is currently active in the NPPES registry.
What is the specialty of Stefan Mansourian, MD?
Stefan Mansourian, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in CT under license number 54766.
Where does Stefan Mansourian, MD practice?
The practice location is 950 Campbell Ave, Department Of Radiology, West Haven, CT 06516-2770. The office can be reached at 203-932-5711 (phone).
What is an NPI number?
A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063694081 directly on the NPPES registry website.