Individual
DR. TEENA PERVAIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1919 ELM ST N, FARGO, ND 58102-2416
(701) 293-4109
Mailing address
1919 ELM ST N, FARGO, ND 58102-2416
(701) 293-4109
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
BP10085208
TX
Other
Enumeration date
07/06/2020
Last updated
07/28/2023
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