Ghazali, Masood Raheem
Ghazali, Masood Raheem is an individual health care provider with primary practice located at 3833 Coon Rapids Blvd Nw Suite 100, Coon Rapids MN 55433-2697. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Ghazali, Masood Raheem can be contacted via phone (763) 427-8320.Contact Information
Primary practice address
3833 Coon Rapids Blvd Nw Suite 100
Coon Rapids MN 55433-2697
Phone: (763) 427-8320
Fax: (763) 302-4338
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 32599 | Iowa |
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 48814 | Wisconsin |
Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 37127 | Minnesota |
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 37127 | Minnesota |
Profile Details
NPI number | 1528012051 |
---|---|
LBN Legal business name | Ghazali, Masood Raheem |
Credentials | M.B., B.S. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 20th, 2006 |
Last updated | May 18th, 2022 - about 3 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 | 1528012051 | NPPES |
Minnesota | Other | 0500666 | MEDICA |
Minnesota | Other | 1013385 | MEDICA |
Minnesota | MEDICAID | 1528012051 | MEDICA |
Minnesota | Other | HP21617 | MEDICA |
Minnesota | Other | 1762066 | MEDICA |
Minnesota | MEDICAID | 32343300 | MEDICA |
Minnesota | Other | P00228750 | MEDICA |
Minnesota | Other | 116880C029 | MEDICA |
Minnesota | Other | 314G7GH | MEDICA |
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