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Individual
MANSOUR R ALMNAJAM
Active
Individual
MANSOUR R ALMNAJAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01086012A
IN
207R00000X
Internal Medicine Physician
264773
MA
207RC0000X
Cardiovascular Disease Physician
01086012A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
01086012A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103093560
ANTHEM PTAN
IN
05
—
300051244
—
IN
01
—
M22404297
MEDICARE PTAN
IN
Enumeration date
07/08/2015
Last updated
06/24/2026
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