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

Dr. Issam Nabeeh Mansour, DPM

Individual provider Podiatrist · NPI 1881712008

Dr. Issam Nabeeh Mansour, DPM is a Podiatry in Livonia, Michigan. Qualified in 2004, 22 years ago. Accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
22
Licensed in
MI
In the registry since
2007
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

33470 Lyndon St Ste 100
Livonia, MI 48154-5424
Phone: (734) 744-5661
Fax: (734) 744-5512
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 590100217 (MI)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 5901002177 (MI)

Record details

NPI number1881712008
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMarch 26, 2007
Last updated in NPPESMay 29, 2026
Certification dateMay 29, 2026

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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