Issam N. Mansour Dpm - Podiatrist in Royal Oak, MI

Issam N. Mansour Dpm is a Podiatrist - Foot & Ankle Surgery based in Royal Oak, Michigan. Issam N. Mansour Dpm is licensed to practice in Michigan (license number 5901002177) and their current practice location is 5130 Coolidge Hwy, C/o Royal Oak Medical Center, Royal Oak, Michigan. It can be reached at their office (for appointments etc.) via phone at (248) 288-9500.

NPI number for Issam N. Mansour Dpm is 1922275478 and their current mailing address is 24230 Karim Blvd, Ste #140, Novi, Michigan. Issam N. Mansour Dpm does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1922275478.

Contact Information

Issam N. Mansour Dpm
5130 Coolidge Hwy, C/o Royal Oak Medical Center,
Royal Oak, MI 48073-1001
(248) 288-9500
(248) 288-0044

Map and Direction




Healthcare Provider's Profile

Full NameIssam N. Mansour Dpm
TypeFacility
SpecialityPodiatrist - Foot & Ankle Surgery
Location5130 Coolidge Hwy, Royal Oak, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1922275478
  • Provider Enumeration Date: 05/14/2008
  • Last Update Date: 05/14/2008

Medical Identifiers

Medical identifiers for Issam N. Mansour Dpm such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922275478NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery 5901002177 (Michigan)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. Issam N. Mansour Dpm 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 AddressPractice Location Address
Issam N. Mansour Dpm
24230 Karim Blvd, Ste #140,
Novi, MI 48375-2953

Ph: (248) 888-9500
Issam N. Mansour Dpm
5130 Coolidge Hwy, C/o Royal Oak Medical Center,
Royal Oak, MI 48073-1001

Ph: (248) 288-9500

Reviews and Comments


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