Individual
SHAFGAT ULLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6845 LEE AVE N, MAIL STOP 31400A, BROOKLYN CENTER, MN 55429-1717
(763) 569-0300
(763) 569-0311
Mailing address
6845 LEE AVE N # M, BROOKLYN CENTER, MN 55429-1717
(763) 503-4400
(763) 569-0311
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
39448
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305023800
—
MN
Enumeration date
02/08/2006
Last updated
09/05/2014
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