Individual
KAIHAN FAKHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8600 NICOLLET AVE S, BLOOMINGTON, MN 55420-2824
(952) 541-2800
(952) 886-7015
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
69906
MN
Other
Enumeration date
03/30/2015
Last updated
10/19/2021
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