Healthcare Provider Details

I. General information

NPI: 1306332002
Provider Name (Legal Business Name): HARINOOR MANN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2018
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1932 NILES CORTLAND RD NE
WARREN OH
44484-1055
US

IV. Provider business mailing address

1932 NILES CORTLAND RD NE
WARREN OH
44484-1055
US

V. Phone/Fax

Practice location:
  • Phone: 330-306-6980
  • Fax: 330-856-5887
Mailing address:
  • Phone: 330-306-6980
  • Fax: 330-856-5887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMT216104
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number35143661
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: