Most Relevant Information
Provider Data
| NPI Number: | 1003337973 |
| Provider Name: | ABDALLAH M MANSOUR MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | 2017015904 |
Most Important Dates
| Enumeration Date: | 06/30/2017 |
| Last Updated: | 06/05/2023 |
Provider Practice Location
3000 32ND AVE S
FARGO
ND
581036132
Practice Location Phone/Fax
| Phone: | 7013648900 |
| Fax: |
Provider Mailing Location
3000 32ND AVE S
FARGO
ND
581036132
Provider Mailing Phone/Fax
| Phone: | 7013648900 |
| Fax: |
Suggested EMR
Internist EMR