Feroz, Shabana

Feroz, Shabana is an individual health care provider with primary practice located at 7840 Vinewood Ln N , Maple Grove MN 55369-7185. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Feroz, Shabana can be contacted via phone (763) 236-0200.

Contact Information

Primary practice address
7840 Vinewood Ln N Maple Grove MN 55369-7185
Phone: (763) 236-0200
Fax: (763) 420-5531
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 106469 Minnesota

Profile Details

NPI number 1326091331
LBN Legal business name Feroz, Shabana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Nov 30th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326091331 NPPES
Michigan MEDICAID 4162464
Michigan MEDICAID 4884782
Michigan MEDICAID 4162375
Michigan Other 0F06016
Michigan MEDICAID 4162455

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