DR. RAMIL MANSOUROV (NPI# 1992768477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992768477 |
| Entity Type | Individual |
| Full Name | DR. RAMIL MANSOUROV |
| Credential | M.D. |
| Practice Address |
235 Main St Norwalk CT 06851-2720 |
| Practice Telephone | 2036444775 |
| Practice Fax Number | 2035476118 |
| Mailing Telephone | 2036444775 |
| Mailing Fax Number | 2035476118 |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2016-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 193200000X | Multi-Specialty | 040028 | CT | Group |
| N | 207P00000X | Emergency Medicine | 44050 | KY | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 9376 | ND | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | BCBS | 26162 | 01 |
| ND | 12543 | 05 |
| 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 |
| 1255583647 | Ramil Mansourov, LLC | Clinic/Center | 235 Main St, Norwalk, CT 06851-2720 | 2008-10-16 |
| 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 |
| 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 | 193200000X |
| Grouping | Group |
| Classification | Multi-Specialty |
| A business group of one or more individual practitioners, who practice with different areas of specialization. |
| Notes: [7/1/2003: new] |
Please comment or provide details below to improve the information on DR. RAMIL MANSOUROV.
| 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.