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

Individual provider Internal Medicine Physician · NPI 1962433706

Mansoor S Shah, MD is an Internal Medicine in Lakewood, California. Qualified in 1971, 55 years ago. Practices with Prohealth Partners, a Medical Group, a 234-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
55
Licensed in
CA
In the registry since
2006
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

5750 Downey Ave Ste 100
Lakewood, CA 90712-1405
Phone: (562) 630-3105
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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 A32231 (CA)

Record details

NPI number1962433706
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 6, 2006
Last updated in NPPESSeptember 11, 2007

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1971 (55 years in practice)
Group practice Prohealth Partners, A Medical Group — 234 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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