RAMIL MANSOUROV, LLC (NPI# 1255583647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255583647 |
| Entity Type | Organization |
| Organization Name | RAMIL MANSOUROV, LLC |
| Practice Address |
235 Main St Norwalk CT 06851-2720 |
| Mailing Address |
137 Hollow Tree Ridge Rd Apt 2213 Darien CT 06820-4036 |
| Practice Telephone | 2038472600 |
| Practice Fax Number | 2035476118 |
| Mailing Telephone | 2036444775 |
| Mailing Fax Number | 2035476118 |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2008-10-16 |
| Authorized Official Name | RAMIL MANSOUROV (PHYSICIAN) |
| Authorized Official Telephone | 2036444775 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
235 MAIN ST |
| City | NORWALK |
| State | CT |
| Zip Code | 06851-2720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033487178 | Danielle Ballentine | Pharmacist | 235 Main St, Norwalk, CT 06851-2720 | 2011-12-04 |
| 1922380617 | Seynabou Fall | Pharmacist | 235 Main St, Norwalk, CT 06851-2720 | 2011-09-19 |
| 1578843207 | Michael Ehigha Egege | Pharmacist | 235 Main St, Norwalk, CT 06851-2720 | 2011-08-25 |
| 1811289606 | Brenda Renzulli | Nurse Practitioner | 235 Main St, Norwalk, CT 06851-2720 | 2011-05-11 |
| 1457523706 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 235 Main St, Norwalk, CT 06851-2720 | 2008-03-27 |
| 1245364041 | John Christopher Sova | Chiropractor | 235 Main St, Norwalk, CT 06851-2720 | 2007-03-15 |
| 1992768477 | Ramil Mansourov | Multi-Specialty | 235 Main St, Norwalk, CT 06851-2720 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144763434 | Cynthia Eliezer | Student in an Organized Health Care Education/Training Program | 120 East Ave 2nd Flr., Norwalk, CT 06851 | 2016-11-18 |
| 1356897672 | Be Balanced Naturopathic Care Center, LLC | Naturopath | 91 East Ave, Garden Level, Norwalk, CT 06851 | 2016-08-28 |
| 1861843559 | Valerie Andree Vincent | Student in an Organized Health Care Education/Training Program | 120 East Avenue-2nd Floor, Catholic Charities, Norwalk, CT 06851 | 2016-06-24 |
| 1417333758 | Laura Rebecca Nierenberg Fishman | Marriage & Family Therapist | 161 East Avenue, Suite 101, Norwalk, CT 06851 | 2015-08-10 |
| 1487085411 | Danielle Christine Boland | Social Worker | 206 Wolfpit Avenue, Norwalk, CT 06851 | 2013-12-02 |
| 1427485846 | Michelle Clement | Technician/Technologist | 650 Main Avenue, Norwalk, CT 06851 | 2013-09-30 |
| 1932447430 | Rebecca Roessler Velasquez | Social Worker | 225 W Rocks Rd, Norwalk, CT 06851 | 2013-01-18 |
| 1275809154 | Tiffany A. Mccarty | Social Worker | 166 East Ave Ste 204, Norwalk, CT 06851 | 2012-03-26 |
| 1356573547 | Cheree Louise Fenske | Clinical Neuropsychologist | 761 Main Ave Ste 104, Norwalk, CT 06851 | 2009-08-20 |
| 1083869572 | Carol Lynne Cooper | Obstetrics & Gynecology | 17 North Ave., Norwalk, CT 06851 | 2008-11-25 |
| Find all providers in zip 06851 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558716464 | Syed H Reza, Md P.C. | Clinic/Center | 346 Main Ave, Suite B, Norwalk, CT 06851-1592 | 2016-04-28 |
| 1659782134 | Angela Wilson | Clinic/Center | 761 Main Ave, Norwalk, CT 06851-1080 | 2014-05-18 |
| 1790901361 | Mc Medical Clinic | Clinic/Center | 12100 Imperial Hwy, Suite 102, Norwalk, CA 90650-3081 | 2007-04-18 |
| 1174642086 | Americares Free Clinic of Norwalk | Clinic/Center | 98 S Main St, Norwalk, CT 06854-3126 | 2007-03-29 |
| 1619093523 | Connecticut Counseling Centers, Inc. | Clinic/Center | 20 N Main St, Norwalk, CT 06854-2656 | 2007-03-22 |
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| 1922586809 | Emmaus Health LLC | Clinic/Center | 945 Main St Ste 205, Manchester, CT 06040-6064 | 2018-08-01 |
| 1841781382 | Clifford W. Beers Guidance Clinic Inc | Clinic/Center | 41 Marne St, Hamden, CT 06514 | 2018-05-21 |
| 1598284622 | Np Wellness Care | Clinic/Center | 253 Fairlawn Dr, Torrington, CT 06790-5809 | 2017-09-09 |
| 1245773191 | Anchor Health Initiative Corp. | Clinic/Center | 30 Myano Ln Ste 16, Stamford, CT 06902-4532 | 2016-11-27 |
| 1588114870 | Whole Self Wellness, LLC | Clinic/Center | 144 Banjo Sullivan Rd, Griswold, CT 06351-1201 | 2016-10-11 |
| 1265892541 | Amanda M Swan Aprn LLC | Clinic/Center | 33 Harmund Pl, Wethersfield, CT 06109-1209 | 2016-03-01 |
| 1215321666 | Grand Medical LLC | Clinic/Center | 515 Higgins Rd, Cheshire, CT 06410-3326 | 2015-03-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.