Hemmati, Masha

Hemmati, Masha is an individual health care provider with primary practice located at 2810 Nicollet Ave , Minneapolis MN 55408-4708. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Hemmati, Masha can be contacted via phone (612) 873-8060.

Contact Information

Primary practice address
2810 Nicollet Ave Minneapolis MN 55408-4708
Phone: (612) 873-8060
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 46558 Minnesota

Profile Details

NPI number 1134160914
LBN Legal business name Hemmati, Masha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Sep 24th, 2012 - about 13 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 1134160914 NPPES
Minnesota MEDICAID 607669600

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