Individual
MOHAMED JEILANI KASSIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 SMITH AVE N STE 300, SAINT PAUL, MN 55102-2592
(651) 241-5000
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9035
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
72325
MN
207R00000X
Internal Medicine Physician
LP04763
RI
207RN0300X
Nephrology Physician
Primary
72325
MN
Other
Enumeration date
06/26/2019
Last updated
09/27/2024
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