KHALED MANSOUR (NPI# 1427281641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427281641 |
| Entity Type | Individual |
| Full Name | KHALED MANSOUR |
| Credential | M.D |
| Practice Address |
1 Clinic Dr Richlands VA 24641 |
| Mailing Address |
1 Clinic Dr Richlands VA 24641-1102 |
| Practice Telephone | 2769641232 |
| Practice Fax Number | 2769641323 |
| Mailing Telephone | 2769641232 |
| Mailing Fax Number | 2769641323 |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2018-07-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
0101259449 | VA | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
0101259449 | VA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1001 W 10th St, Indianapolis, IN 462022859 | 3176564276 | 3176302667 |
| Street Address |
1 CLINIC DR |
| City | RICHLANDS |
| State | VA |
| Zip Code | 24641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659371300 | Margaret Nichols Jeffries-honeycutt | Pediatrics | 1 Clinic Dr, Richlands, VA 24641-1102 | 2005-07-22 |
| 1932552718 | Nona Crouse | Nurse Practitioner | 1 Clinic Dr, Claypool Hill, Richlands, VA 24641-1102 | 2016-07-18 |
| 1174987069 | Cortney Farmer | Family Medicine | 1 Clinic Dr, Richlands, VA 24641-1102 | 2016-04-07 |
| 1548628548 | Lisa Stiltner | Nurse Practitioner | 1 Clinic Dr, Richlands, VA 24641-1102 | 2016-02-04 |
| 1245662022 | Clinch Valley Physicians Associates LLC | Durable Medical Equipment & Medical Supplies | 1 Clinic Dr, Claypool Hill, Richlands, VA 24641-1102 | 2013-08-05 |
| 1104265214 | Clinch Valley Physicians Associates LLC | Obstetrics & Gynecology | 1 Clinic Dr, Claypool Hill, Richlands, VA 24641-1102 | 2013-06-21 |
| 1861831976 | Clinch Valley Physicians Associates LLC | Clinical Medical Laboratory | 1 Clinic Dr, Claypool Hill, Richlands, VA 24641-1102 | 2013-06-21 |
| 1821339540 | Clinch Valley Physicians Associates LLC | Clinic/Center | 1 Clinic Dr, Claypool Hill, Richlands, VA 24641-1102 | 2013-03-05 |
| 1932468915 | Sandra Marie Peery Norman | Family Medicine | 1 Clinic Dr, Richlands, VA 24641-1102 | 2012-05-10 |
| 1114151446 | Ashley Dawn Mcguire | Family Medicine | 1 Clinic Dr, Richlands, VA 24641-1102 | 2009-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740819374 | Natasha Ramey | Registered Nurse | 6801 Gov George C Peery Highway, Richlands, VA 24641 | 2020-04-06 |
| 1881133585 | Amanda Combs | Nurse Practitioner | 6719 Governor G.c. Perry Highway Suit 3100, Richlands, VA 24641 | 2017-02-15 |
| 1740635549 | Najlaa Jaleesah | Emergency Medicine | 6801 Gov George C. Peery Hwy, Richlands, VA 24641 | 2016-04-28 |
| 1578817938 | Clinch Valley Vascular Surgical Assoc., Pllc | Surgery | 6719 Gov. G.c. Peery Highway, Suite 2600, Richlands, VA 24641 | 2012-11-06 |
| 1033461777 | Carol Keen | Nurse Practitioner | 6719 Gov Gc Perry Hwy, Richlands, VA 24641 | 2012-10-04 |
| 1487930905 | Sami Abdul Jawad | Internal Medicine | 6801 Governor George C. Peery Hwy, Richlands, VA 24641 | 2011-10-28 |
| 1134403090 | Clinch Valley Vascular Surgery Associates | General Acute Care Hospital | 6719 Gov G. C. Peery Highway, 2600, Richlands, VA 24641 | 2011-10-10 |
| 1699089953 | Suasin Cancer Care, Inc. | Radiology | 6801 Gov.g.c. Peery Hwy, Richlands, VA 24641 | 2010-07-28 |
| 1902122922 | Hao Duy Pham | Surgery | 6719 Governor Gc Peery Hwy Ste 2600, Richlands, VA 24641 | 2010-04-15 |
| 1144477134 | Paul R Goyt | Emergency Medicine | 6801 Governor G C Peery Hwy, Richlands, VA 24641 | 2008-08-21 |
| Find all providers in zip 24641 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689767832 | Muhammad R. Javed Md PC | Internal Medicine | 6719 Governor G.c. Peery Highway, Suite 3100, Richlands, VA 24641-2055 | 2006-10-02 |
| 1679539373 | Muhammad Ramzan Javed | Internal Medicine | 6719 Governor G.c. Peery Highway, Suite 3100, Richlands, VA 24641 | 2006-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482102 | Careclix Inc | Internal Medicine | 206 N Washington St Ste 100, Alexandria, VA 22314-2534 | 2020-03-14 |
| 1962046763 | Southpark Vascular Center | Internal Medicine | 445 Charles H Dimmock Pkwy Ste 101, Colonial Heights, VA 23834-2990 | 2019-11-05 |
| 1205496866 | United Diagnostic Services LLC | Internal Medicine | 4115 Annandale Rd Ste 301d, Annandale, VA 22003-2500 | 2019-06-17 |
| 1790348365 | Virginia Hospital Center Physician Group LLC | Internal Medicine | 1625 N George Mason Dr Ste 354, Arlington, VA 22205-3687 | 2019-04-18 |
| 1366905523 | Premier Cardiac and Vascular LLC | Internal Medicine | 5514 Alma Ln Ste 200, Springfield, VA 22151-4014 | 2019-04-12 |
| 1083133144 | Community Cardiology | Internal Medicine | 43 Rives Rd Ste 201, Petersburg, VA 23805-9255 | 2017-09-11 |
| 1306361803 | Stateline Heart and Vascular Health, Inc | Internal Medicine | 312 Fairy Street Ext Ste 101, Martinsville, VA 24112-1912 | 2017-08-07 |
| 1265954747 | Sentara Medical Group | Internal Medicine | 1933 Edwin Dr Ste 208a, Chesapeake, VA 23322-6531 | 2017-07-17 |
| 1003366618 | Bluefield Vascular Center | Internal Medicine | 970 Leatherwood Ln, Bluefield, VA 24605-2047 | 2016-10-06 |
| 1770947806 | Rajiv Ashok Kabadi | Internal Medicine | Vcuhs Department of Cards Fellowship, 980509, 1250 E. Marshall Street, Richmond, VA 23298-0509 | 2016-04-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KHALED MANSOUR.
| 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.