IndividualActive
Asifhusen Mansuri, M.D.
NPI 1699109579 · Pediatric Nephrology Physician · Augusta, GA
Provider details
- NPI number
- 1699109579
- Entity type
- Individual
- Primary specialty
- Pediatric Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- BP10048201 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
1120 15th St
Augusta, GA 30912-7701
Phone: (706) 721-8623
Approximate (ZIP-level) locationGet directions
Mailing address
1499 Walton Way Ste 1400
Augusta, GA 30901-2603
Additional practice locations (1)
- 1935 Medical District DrDallas, TX 75235-7701Phone: (214) 456-2735Fax: (214) 648-2034
Registry dates
- Enumerated
- 2013-08-27
- Last updated
- 2018-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.