| Mansard Medical Associates, Inc. | |
|
2600 Tuscarawas St W Suite#500 Canton OH 44708-4644 | |
| (330) 452-8858 | |
| (330) 452-7797 |
| Full Name | Mansard Medical Associates, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2600 Tuscarawas St W, Canton, Ohio |
| Authorized Official Name and Position | Louis G Shaheen (PRESIDENT) |
| Authorized Official Contact | 3304528858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mansard Medical Associates, Inc. 2600 Tuscarawas St W Suite#500 Canton OH 44708-4644 Ph: (330) 452-8858 | Mansard Medical Associates, Inc. 2600 Tuscarawas St W Suite#500 Canton OH 44708-4644 Ph: (330) 452-8858 |
| NPI Number | 1710956693 |
|---|---|
| Provider Enumeration Date | 03/14/2006 |
| Last Update Date | 06/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710956693 | NPI | - | NPPES |
| 0960974 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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