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Raheem Mansoor

NPI 1144154006 · on the registry since 2026 · sole proprietor

Practice

Address
2300 W 11th Ave
Gary, IN 46404
Phone
(219) 292-0324

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-06-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana