Dr. Mohamed Abdel-Aziz Mansour, M.D.
Internal Medicine in Munster, IN. Individual provider (NPI-1).
NPI number1124247705
StatusActive
Last updated in NPPESDec 20, 2016
Details
- NPI
- 1124247705
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mohamed Abdel-Aziz Mansour
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 24, 2007
- Last updated
- Dec 20, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 01063573 | IN | Yes |
Practice location
7905 Calumet AveMunster, IN 46321-1215
Phone 219-836-7214 · Fax 219-836-8073
Mailing address
10 Orland Square DrOrland Park, IL 60462-3207
Phone 708-870-1811
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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