Individual
DR. MOHAMAD IBRAHIM ITANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0341
(651) 491-4295
Mailing address
420 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0341
(651) 491-4295
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
79942
MN
207RG0100X
Gastroenterology Physician
Primary
79942
MN
Other
Enumeration date
04/12/2021
Last updated
07/05/2025
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