Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ahmad T Mansour, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1649585209

Dr. Ahmad T Mansour, MD is a Pathology in Edgewood, Kentucky. Qualified in 2005, 21 years ago. Practices with St Elizabeth Medical Center, Inc, a 186-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana, Kentucky and Ohio.

Years since qualifying
21
Licensed in
IN, KY, OH
In the registry since
2010
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Medical Village Dr
Edgewood, KY 41017-3403
Phone: (859) 301-2018
Fax: (859) 301-2073
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 234 Goodman St, Cincinnati, OH 45219-2364 — (513) 584-7284

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 59661 (KY)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 01073474A (IN)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 35.138236 (OH)

Record details

NPI number1649585209
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 7, 2010
Last updated in NPPESDecember 11, 2024
Certification dateDecember 11, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice St Elizabeth Medical Center, Inc — 186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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