MEDICARE: MS. MAHNOOR MUDASSAR WARRAICH M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1134918592
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MAHNOOR MUDASSAR WARRAICH M.D

Provider Business Mailing Address
First Line	:	425 W 5TH STREET, EAST LIVERPOOL CITY HOSPITAL
Second Line	:
City	:	EAST LIVERPOOL
State	:	OH
Zip	:	43920
Country	:	US
Telephone Number	:	330-386-2793
Fax Number	:	330-384-2790

Provider Business Practice Location Address
First Line	:	425 W 5TH STREET, EAST LIVERPOOL CITY HOSPITAL
Second Line	:
City	:	EAST LIVERPOOL
State	:	OH
Zip	:	43920
Country	:	US
Telephone Number	:	330-386-2793
Fax Number	:	330-384-2790

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2025
Last Update Date	:	01/22/2026

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