DR. AMIRA MANTOURA (NPI# 1700801610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700801610 |
| Entity Type | Individual |
| Full Name | DR. AMIRA MANTOURA |
| Other Name | DR. AMIRA NANAI |
| Credential | DPM |
| Practice Address |
95 Morgan St Suite 1j Stamford CT 06905-5474 |
| Practice Telephone | 2039751175 |
| Practice Fax Number | 2039780641 |
| Mailing Telephone | 2039751175 |
| Mailing Fax Number | 2039780641 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2012-01-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 000430 | CT | Podiatric Medicine & Surgery Service Providers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 000430 | CT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 4078029 | 05 |
| Street Address |
95 MORGAN ST SUITE 1J |
| City | STAMFORD |
| State | CT |
| Zip Code | 06905-5474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649659475 | Sound Foot & Ankle Specialists | Podiatrist | 95 Morgan St, Suite 1j, Stamford, CT 06905-5474 | 2015-05-26 |
| 1831480581 | Rajitha Bharatan | Physical Therapist | 95 Morgan St, Apt 11d, Stamford, CT 06905-5474 | 2011-04-28 |
| 1003994393 | Stuart Robert Abrams | Dentist | 95 Morgan St, Apt 1e, Stamford, CT 06905-5413 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396367272 | Smartport LLC | Non-emergency Medical Transport (VAN) | C/o Mollo, 1111 Summer St, Stamford, CT 06905 | 2020-05-13 |
| 1245889096 | Anna Diamantis | Counselor | 1200 High Ridge Road, 2nd Floor, Stamford, CT 06905 | 2019-09-04 |
| 1871150409 | Connecticut Anesthesia Associates LLC | Anesthesiology | 1177 High Ridge Road, Stamford, CT 06905 | 2019-05-20 |
| 1518447887 | Alexandra Petrov | Lactation Consultant, Non-RN | 42 Riverside Ave, Stamford, CT 06905 | 2018-08-16 |
| 1235640327 | A&s Chemists LLC | Pharmacy | 910 Summer Ave, Stamford, CT 06905 | 2017-10-17 |
| 1659805117 | Evolution Physical Therapy, LLC | Clinic/Center | 7 Reynolds Ave, Stamford, CT 06905 | 2017-04-11 |
| 1326587841 | Karen Poggi | Speech-Language Pathologist | 30 Buxton Farm Rd., Suite 230, Stamford, CT 06905 | 2017-02-16 |
| 1811434871 | Christina Skuburids, LLC | Point of Service | 2043 Bedford Street, Stamford, CT 06905 | 2017-01-27 |
| 1669833513 | Christian Alvarez | Occupational Therapist | 15 First St Unit 1, Stamford, CT 06905 | 2016-03-18 |
| 1932500915 | Emily Krol | Psychologist | 29 Yale Court, Stamford, CT 06905 | 2014-09-10 |
| Find all providers in zip 06905 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760599526 | Jeffrey Gross | Podiatrist | 47 Oak Street, Stamford, CT 06905 | 2006-08-25 |
| 1275542482 | Mary D Reilly | Podiatrist | 1023 Hope St Ste 4, Stamford, CT 06907-2122 | 2006-08-05 |
| 1942297650 | Michael L Sabia Jr. | Podiatrist | 24 3rd St, Stamford, CT 06905-5106 | 2005-09-29 |
| 1740276351 | Charles Gross | Podiatrist | 111 High Ridge Rd, Stamford, CT 06905-3813 | 2005-09-20 |
| 1134398415 | Stamford Foot Center, LLC | Podiatrist | 1023 Hope St Ste 4, Stamford, CT 06907-2122 | 2008-02-21 |
| 1295920908 | Preferred Footcare LLC | Podiatrist | 125 Strawberry Hill Ave, Ste 302, Stamford, CT 06902-2536 | 2007-09-06 |
| 1770783011 | Peter Y Siroka Dpm PC | Podiatrist | 1275 Summer St Ste 106, Stamford, CT 06905-5315 | 2007-07-24 |
| 1780736728 | Stamford Podiatry Group PC | Podiatrist | 1234 Summer St Ste 202, Stamford, CT 06905-5510 | 2007-01-18 |
| 1205859865 | Jeremy A Bier | Podiatrist | 125 Strawberry Hill Ave, Ste 302, Stamford, CT 06902-2536 | 2006-07-25 |
| 1962428862 | Steven Barry Shindler | Podiatrist | 1275 Summer St, Suite 106, Stamford, CT 06905-5359 | 2006-07-14 |
| Find all providers in STAMFORD | ||||
Please comment or provide details below to improve the information on DR. AMIRA MANTOURA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.