Kherallah, Mazen

Kherallah, Mazen is an individual health care provider with primary practice located at 801 Broadway N , Fargo ND 58102-3641. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Kherallah, Mazen can be contacted via phone (701) 234-7200.

Contact Information

Primary practice address
801 Broadway N Fargo ND 58102-3641
Fax: (701) 234-7225
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 9502 North Dakota

Profile Details

NPI number 1922025691
LBN Legal business name Kherallah, Mazen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Feb 14th, 2021 - 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.

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