P Praxis·MD
● Active Type 1 · Individual

Mashail Manzur

Podiatrist·Tucker, GA· NPI 1689107807 · Enumerated 2017 · 9 years on NPI
Manzur is 1 of 6 podiatrist providers in Tucker and 1 of 437 in Georgia.
NPI age
9 years
Enumerated 2017-04-05
Primary specialty
Podiatrist
Plus 2 subspecialties
Licensed in
GA, FL
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-11-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 437 active podiatrist providers in Georgia.

NPI age
9 years
↓ 9 yr below median (18 yr)
State licenses
2 states
Top 89% — 11% of peers are multi-state
Subspecialties
1
In the 23% of peers with subspecialties

NPI lifetime · 2017 → 2026

2017-04Enumerated in NPPES
2017 2026

Where they practice

Practice location
1460 Montreal Rd E, Ste 250
Tucker, GA 30084
📞 4708802414fax 6788022414
Mailing address
1460 Montreal Rd E, Ste 275
Tucker, GA 30084

Specialties

  • Podiatrist Primary
    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...
    GA license #POD001450FL license #PR507 taxonomy 213E00000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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