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

Dr. Amanda Mansouri, MD

Individual provider General Practice Physician · NPI 1407205354

Dr. Amanda Mansouri, MD is a General Practice Physician in Austin, Texas. Licensed in Tennessee. Registered with an NPI since 2016.

Licensed in
TN
In the registry since
2016
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

4701 Monterey Oaks Blvd Apt 325 Not A Physical Location
Austin, TX 78749-1083
Phone: (865) 274-1074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 62255 (TN)

Record details

NPI number1407205354
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 10, 2016
Last updated in NPPESJune 19, 2023
Certification dateJune 19, 2023
Mailing address4701 Monterey Oaks Blvd Apt 325, Austin, TX 78749-1083

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