Individual provider · Type 1 NPI

Imran Mansoor Raza, MD

Student in an Organized Health Care Education/Training Program · Buffalo, NY

NPI number 1861283483 Active · reactivated Aug 12, 2026

Practice location

462 Grider St Ecmc Office Of Medical Education
Buffalo, NY 14215

Mailing address

1155 Main Street, Apt 522
Buffalo, NY 14209

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1861283483

Imran Mansoor Raza, MD's National Provider Identifier is 1861283483, issued on May 14, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Buffalo, NY. The record was last updated on Aug 12, 2026.