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Dr. Izzuddin Ali Mansur, MD
Urology Physician in Crossville, Tennessee
NPI 1508828344

Izzuddin Ali Mansur is a Urology Physician based in Crossville, TN. Izzuddin Ali Mansur practices in Crossville, TN and has the professional credentials of MD. The NPI Number for Izzuddin Ali Mansur is 1508828344 and holds a License No. MD30604 (Tennessee).

The current practice location address for Izzuddin Ali Mansur is 49 Cleveland St, Crossville, TN and can be reached out via phone at 931-707-8050 and via fax at 931-707-8048.

Location: 49 Cleveland St, Crossville, TN, 38555-2855
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508828344
Provider Name
Izzuddin Ali Mansur
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
49 Cleveland St, Crossville, TN, 38555-2855
Phone Number
931-707-8050
Fax Number
931-707-8048
Provider Enumeration Date
04/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q063406 05 TN
institution
Provider Business Practice Location Address Details
Address
49 Cleveland St
City
Crossville
State
Tennessee
Zip
38555-2855
Phone Number
931-707-8050
Fax Number
931-707-8048
person
Provider Business Mailing Address Details
Address
49 Cleveland St
City
Crossville
State
Tennessee
Zip
38555-2855
Phone Number
931-707-8050
Fax Number
931-707-8048
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
MD30604 (Tennessee)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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