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

Mahanoor Raza

Individual provider Family Medicine Physician · NPI 1639844574

Mahanoor Raza is a Family Practice in Lebanon, Pennsylvania. Qualified in 2019, 7 years ago. Practices with Christus Trinity Clinic, a 1,531-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
7
Licensed in
PA
In the registry since
2021
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Practice location Address checks out

30 N 4th St
Lebanon, PA 17046-5606
Phone: (717) 270-1949
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 151 Country Lane Dr, Lumberton, TX 77657-6803 — (409) 775-3010

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MT222803 (PA)

Record details

NPI number1639844574
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 12, 2021
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Christus Trinity Clinic — 1531 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Lebanon