Individual
SYED MUSTAFA SHAHKHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 MINNESOTA DR STE 200, BLOOMINGTON, MN 55435-5281
(612) 879-1000
(612) 879-9116
Mailing address
2828 CHICAGO AVENUE, SUITE 200, MINNEAPOLIS, MN 55407
(612) 879-1000
(612) 879-0722
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
50338
MN
2084N0400X
Neurology Physician
Primary
50338
MN
2084N0600X
Clinical Neurophysiology Physician
50338
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP1-0026443
INSTITUTIONAL PERMIT
—
Enumeration date
06/05/2007
Last updated
08/23/2024
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