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
Mailing address30 N 4th St, Lebanon, PA 17046-5606

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