Individual
SUHA FAISAL OMAR ABU KHALAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8900
Mailing address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2018016234
MO
207RI0200X
Infectious Disease Physician
Primary
19017
ND
207RI0200X
Infectious Disease Physician
2021017474
MO
Other
Enumeration date
06/21/2018
Last updated
06/26/2023
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