# MARYAH MANSOOR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1659684777
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MD482769 | PA | — |
| 207RR0500X | Rheumatology Physician | 036172307 | IL | Yes |
| 207RR0500X | Rheumatology Physician | 75524 | MN | — |
| 207RR0500X | Rheumatology Physician | C1-0011382 | DE | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | — |

## Other

- **Enumeration date:** 07/18/2010
- **Last updated:** 04/10/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 75524 | MD LICENSE | MN |