Provider Demographics
NPI:1992960827
Name:MANSURY, AHMAD M (MD)
Entity type:Individual
Prefix:DR
First Name:AHMAD
Middle Name:M
Last Name:MANSURY
Suffix:
Gender:
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:21634 RETREAT PKWY
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92883-6100
Mailing Address - Country:US
Mailing Address - Phone:951-493-6934
Mailing Address - Fax:951-826-8125
Practice Address - Street 1:21634 RETREAT PKWY
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92883-6100
Practice Address - Country:US
Practice Address - Phone:951-493-6934
Practice Address - Fax:951-826-8125
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-21
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA100534207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology