Individual
DR. KAMRAN AHRAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
18576 JOPLIN AVE, LAKEVILLE, MN 55044-4218
(952) 892-6454
Mailing address
18576 JOPLIN AVE, LAKEVILLE, MN 55044-4218
(952) 892-6454
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2954
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22-03431
MEDICA
MN
01
—
546G4AH
BLUE CROSS BLUE SHIELD
MN
Enumeration date
06/27/2006
Last updated
07/10/2008
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