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

Dr. Faran Mansoor, MD

Individual provider Internal Medicine Physician · NPI 1407471212

Dr. Faran Mansoor, MD is an Internal Medicine in Pottsville, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Integrated Medical Group P C, a 105-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
6
Licensed in
PA
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

106 S Claude A Lord Blvd
Pottsville, PA 17901-3639
Phone: (570) 728-2424
Fax: (570) 728-2425
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD481185 (PA)

Record details

NPI number1407471212
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 8, 2020
Last updated in NPPESJuly 8, 2024
Certification dateJuly 8, 2024
Mailing address2100 Mack Blvd Fl 4, Allentown, PA 18103-5622

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Integrated Medical Group P C — 105 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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