Individual
SARAH JAVED KIZILBASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2450 RIVERSIDE AVE, EAST BUILDING, MB680, MINNEAPOLIS, MN 55454-1450
(612) 626-2922
Mailing address
2450 RIVERSIDE AVE, EAST BUILDING, MB680, MINNEAPOLIS, MN 55454-1450
(612) 626-2922
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
105417
MN
208000000X
Pediatrics Physician
4301086070
MI
208000000X
Pediatrics Physician
Primary
54158
MN
Other
Enumeration date
02/08/2008
Last updated
06/22/2016
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