Dr Shaheda M Mansuri, MD is a
General Practice physician based in Du Quoin, Illinois. Dr Shaheda M Mansuri is licensed to practice in Illinois (license number 036070613) and her current practice location is 1564 S Washington St, Du Quoin, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 542-8702.
NPI number for Dr Shaheda M Mansuri is 1598701401 and her current mailing address is Po Box 155, Christopher, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1598701401.
Physician's Profile
Full Name | Dr Shaheda M Mansuri |
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Gender | Female |
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Speciality | General Practice |
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Location | 1564 S Washington St, Du Quoin, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1598701401
- Provider Enumeration Date: 06/20/2006
- Last Update Date: 08/26/2019
Medical Identifiers
Medical identifiers for Dr Shaheda M Mansuri such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598701401 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 036070613 (Illinois) | 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 Shaheda M Mansuri 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 Shaheda M Mansuri, MD Po Box 155, Christopher, IL 62822-0155 Ph: (618) 724-1624 | Dr Shaheda M Mansuri, MD 1564 S Washington St, Du Quoin, IL 62832-3849 Ph: (618) 542-8702 |
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