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

Mashail Manzur

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1689107807

Mashail Manzur is a Podiatry in Tucker, Georgia. Graduated from University of Miami, Lm Miller School of Medicine in 2017, 9 years ago. Practices with Atlanta Heart Specialists LLC, a 21-clinician group and accepts Medicare assignment. Licensed in Florida and Georgia.

Years since qualifying
9
Trained at
University of Miami, Lm Miller School of Medicine
Licensed in
FL, GA
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

1460 Montreal Rd E Ste 250
Tucker, GA 30084
Phone: (470) 880-2414
Fax: (678) 802-2414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence POD001450 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Podiatrist Taxonomy 213E00000X · Licence PR507 (FL)

Record details

NPI number1689107807
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 5, 2017
Last updated in NPPESNovember 13, 2020
Certification dateNovember 12, 2020
Mailing address1460 Montreal Rd E, Ste 275, Tucker, GA 30084

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolUNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Atlanta Heart Specialists Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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