# MAHMOOD AMELI LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083857825
- **Authorized official:** MAHMOOD AMELI D.C. (OWNER)
- **Authorized official phone:** (952) 895-5903

## Contact information

- **Practice address:** 10880 175TH CT W, SUITE 120, LAKEVILLE, MN 55044-8781
- **Practice address phone:** (952) 898-4900
- **Practice address fax:** (952) 898-7626
- **Mailing address:** 3404 E BURNSVILLE PKWY, BURNSVILLE, MN 55337-3488
- **Mailing address phone:** (952) 898-5903

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 1237 | MN | Yes |

## Other

- **Enumeration date:** 04/09/2009
- **Last updated:** 04/09/2009