Dr. Izzuddin Ali Mansur, MD
Dr. Izzuddin Ali Mansur, MD is an Urology in Crossville, Tennessee. Qualified in 1979, 47 years ago. Practices with Covenant Medical Group Inc, a 356-clinician group and accepts Medicare assignment. Licensed in Tennessee.
- Years since qualifying
- 47
- Licensed in
- TN
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
49 Cleveland St Ste 220Crossville, TN 38555-2855
Phone: (931) 707-8050
Fax: (931) 707-8048
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Urology Physician (primary) | Taxonomy 208800000X · Licence MD30604 (TN) |
|---|
Record details
| NPI number | 1508828344 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | April 5, 2006 |
| Last updated in NPPES | June 14, 2021 |
| Certification date | June 14, 2021 |
| Mailing address | 49 Cleveland St, Suite 220, Crossville, TN 38555-2855 |
Medicare enrollment
| Medicare specialty | UROLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 1979 (47 years in practice) |
| Group practice | Covenant Medical Group Inc — 356 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Crossville
-
William P Dutton, MD
124 Hayes St, Crossville, TN 38555-8005 · (615) 351-1555
-
Paul Edward Henson III, MD
49 Cleveland St Ste 350, Crossville, TN 38555-2898 · (931) 459-1120
-
Dr. William M. Young, MD
49 Cleveland St Ste 350, Crossville, TN 38555-2898 · (931) 459-7720