Individual
MOHAMED HASSAN KHATTAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1475 SAINT FRANCIS AVE, SHAKOPEE, MN 55379-3301
(952) 428-2663
Mailing address
7401 METRO BLVD STE 210, EDINA, MN 55439-3086
(952) 920-4915
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
68888
MN
Other
Enumeration date
02/05/2014
Last updated
11/28/2023
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