SearchGeorgia207W00000X

Azad Mansouri, MD

NPI 1477744068 · on the registry since 2007

Practice

Address
2400 Mount Zion Pkwy
Kaiser Permanente Southwood Medical Center
Jonesboro, GA 30236
Phone
(410) 337-4500
Fax
(410) 339-7326
Organisation at this address
Kaiser Foundation Health Plan Of Georgia Inc.
Kaiser Foundation Health Plan Of Georgia, Inc.
Kaiser Foundation Health Plan Of Georgia, Inc.
Kaiser Foundation Health Plan Of Georgia, Inc.
Kaiser Foundation Health Plan Of Georgia, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
140

Registry record

Primary taxonomy
207W00000X
207W00000X
Also registered as
207W00000X
207W00000X
207W00000X
Licence states on file
VA, MD, MO, GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-01-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia