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

Dr. Alaa G Mansour, MD

Individual provider Family Medicine Physician · NPI 1902896608

Dr. Alaa G Mansour, MD is an Internal Medicine in Eastpointe, Michigan. Qualified in 1992, 34 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
34
Licensed in
MI
In the registry since
2005
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

21321 Kelly Rd Ste 100
Eastpointe, MI 48021-3214
Phone: (586) 443-5580
Fax: (586) 443-5590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence AM078660 (MI)

Record details

NPI number1902896608
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 24, 2005
Last updated in NPPESAugust 11, 2025
Certification dateAugust 9, 2025
Mailing address21321 Kelly Rd Ste 100, Eastpointe, MI 48021-3214

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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