Altafullah, Irfan Mohammad
Altafullah, Irfan Mohammad is an individual health care provider with primary practice located at 4225 Golden Valley Rd , Golden Valley MN 55422-4215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Altafullah, Irfan Mohammad can be contacted via phone (763) 588-0661.Contact Information
Primary practice address
4225 Golden Valley Rd
Golden Valley MN 55422-4215
Phone: (763) 588-0661
Fax: (763) 287-2310
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 31625 | Minnesota |
Profile Details
NPI number | 1437103629 |
---|---|
LBN Legal business name | Altafullah, Irfan Mohammad |
Credentials | M.B., B.S. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 20th, 2006 |
Last updated | May 17th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1437103629 | NPPES |
Minnesota | MEDICAID | 1437103629 | |
Minnesota | Other | 100277C029 | |
Minnesota | Other | 0265046 | |
Minnesota | Other | 0522654 | |
Minnesota | Other | 1D717AL | |
Minnesota | MEDICAID | 31739300 | |
Minnesota | Other | 130006223 | |
Minnesota | Other | HP12787 | |
Minnesota | Other | 22781 |
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