NPI 1073641890 · live from the CMS NPI Registry
Roya Mansoorani, M.D.
Pediatrics in Saint Albans, VT. National Provider Identifier 1073641890, active.
NPI record
| NPI | 1073641890 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics 208000000X |
| Practice location | 11 Crest Rd, Saint Albans, VT 05478 |
| Practice phone | 802-527-8189 |
| Mailing address | 600 Blair Park Rd Ste 285, Williston, VT 05495 |
| Enumerated | March 1, 2007 |
| Last updated | June 30, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Adolescent Medicine | 2080A0000X | 0420009551 (VT) |
| Pediatrics primary | 208000000X | 042-0009551 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.