Maklad, Samy Mokhtar

Maklad, Samy Mokhtar is an individual health care provider with primary practice located at 11850 Blackfoot St Nw Ste 300 , Coon Rapids MN 55433-2772. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Maklad, Samy Mokhtar can be contacted via phone (763) 236-9000.

Contact Information

Primary practice address
11850 Blackfoot St Nw Ste 300 Coon Rapids MN 55433-2772
Phone: (763) 236-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X R-8389 Iowa
Allopathic & Osteopathic Physicians / Surgery 208600000X 108516 Minnesota
Allopathic & Osteopathic Physicians / Surgery 208600000X 41263 Iowa

Profile Details

NPI number 1710140389
LBN Legal business name Maklad, Samy Mokhtar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2008
Last updated Nov 9th, 2020 - about 4 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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