Iyad Sami Mansour, MD | |
2701 Old Eureka Way Ste 1e, Redding, CA 96001 | |
(530) 232-3000 | |
(530) 242-8545 |
Full Name | Iyad Sami Mansour |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 18 Years |
Location | 2701 Old Eureka Way Ste 1e, Redding, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215360508 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A154593 (California) | Secondary |
207RN0300X | Internal Medicine - Nephrology | A154593 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tucson East Dialysis (dva) | Tucson, AZ | Dialysis facility |
Desert Dialysis Center (dci) | Tucson, AZ | Dialysis facility |
Banner - University Medical Center Tucson Campus | Tucson, AZ | Hospital |
Banner-university Medical Center South Campus | Tucson, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Banner -- University Medical Group | 7719899871 | 819 |
Entity Name | Banner -- University Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694 |
Mailing Address | Practice Location Address |
---|---|
Iyad Sami Mansour, MD 2701 Old Eureka Way, Ste 1e, Redding, CA 96001-0228 Ph: (530) 232-3000 | Iyad Sami Mansour, MD 2701 Old Eureka Way Ste 1e, Redding, CA 96001 Ph: (530) 232-3000 |
William H Devlaming, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1355 East St, Suite 120, Redding, CA 96001 Phone: 530-244-1692 Fax: 530-244-1693 | |
Michelle Yap, MD Nephrology Medicare: Medicare Enrolled Practice Location: 351 Hartnell Ave, Redding, CA 96002 Phone: 530-226-7649 Fax: 530-226-7589 | |
Dr. Sara Choudhry, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1035 Placer Street, Redding, CA 96001 Phone: 530-246-5721 | |
Maylene I Peralta, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2510 Airpark Dr Ste 104, Redding, CA 96001 Phone: 530-242-3570 Fax: 530-242-3572 | |
Corsini Caballero Templado, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 351 Hartnell Ave, Redding, CA 96002 Phone: 530-226-7555 Fax: 530-226-7568 | |
Dr. Renu Magu, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2005 Court St, Ste N, Redding, CA 96001 Phone: 530-768-1633 Fax: 530-768-1634 | |
Dr. Everett D Trevor, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1145 Whiskeytown Ct, Redding, CA 96001 Phone: 530-246-4180 Fax: 530-242-6421 |