NPI 1477744068

Azad Mansouri, MD

Practitioner Ophthalmology Physician Jonesboro, GA

Practice location

Address: 2400 Mount Zion Pkwy Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236-2500
Phone: (410) 337-4500
Fax: (410) 339-7326
Mailing address: 3495 Piedmont Rd NE Nine Piedmont Center, Atlanta, GA 30305-1717

Registered specialties (4)

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 076153 (GA)

Other Ophthalmology providers in Georgia →

Ophthalmology Physician

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 0101247198 (VA)

Ophthalmology Physician

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence D70402 (MD)

Ophthalmology Physician

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 2006017512 (MO)

Registry record

NPI: 1477744068
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Aug 2007
Record last updated: 10 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.