Individual
BACKER MAHMOUD ABDU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1205 S GRANGE AVE, SIOUX FALLS, SD 57105-0407
(605) 328-8500
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
13980
SD
390200000X
Student in an Organized Health Care Education/Training Program
4301111921
MI
Other
Enumeration date
06/26/2017
Last updated
07/26/2023
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