Dr Ramil Mansourov, MD is a
Multi-specialty physician based in Norwalk, Connecticut. Dr Ramil Mansourov is licensed to practice in Connecticut (license number 040028) and his current practice location is 235 Main St, Norwalk, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(203) 644-4775.
NPI number for Dr Ramil Mansourov is 1992768477 and his current mailing address is 235 Main St, Norwalk, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1992768477.
Physician's Profile
| Full Name | Dr Ramil Mansourov |
|---|
| Gender | Male |
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| Speciality | Multi-specialty |
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| Location | 235 Main St, Norwalk, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1992768477
- Provider Enumeration Date: 04/07/2006
- Last Update Date: 06/21/2016
Medical Identifiers
Medical identifiers for Dr Ramil Mansourov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992768477 | NPI | - | NPPES |
| 26162 | Other | ND | BCBS |
| 12543 | Medicaid | ND | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 9376 (North Dakota) | Secondary |
| 207P00000X | Emergency Medicine | 44050 (Kentucky) | Secondary |
| 193200000X | Multi-specialty | 040028 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ramil Mansourov is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Ramil Mansourov, MD
235 Main St,
Norwalk, CT 06851-2720
Ph: (203) 644-4775 | Dr Ramil Mansourov, MD
235 Main St,
Norwalk, CT 06851-2720
Ph: (203) 644-4775 |
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