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

Mansour Eltaher Khaddr, MD

Individual provider Interventional Cardiology Physician · NPI 1124384797

Mansour Eltaher Khaddr, MD is a Cardiovascular Disease (Cardiology) in Rock Springs, Wyoming. Qualified in 2006, 20 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Wyoming.

Years since qualifying
20
Licensed in
WY
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1204 Hilltop Dr Ste 106
Rock Springs, WY 82901-5861
Phone: (307) 522-5555
Fax: (888) 819-5155
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 12748A (WY)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 12748A (WY)

Record details

NPI number1124384797
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 8, 2012
Last updated in NPPESMarch 25, 2024
Certification dateMarch 25, 2024

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERVENTIONAL CARDIOLOGY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services