Individual
DR. TALAYEH VATANKHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
737 BROADWAY N, FARGO, ND 58102-4421
(701) 234-6076
(701) 234-7230
Mailing address
801 BROADWAY N, FARGO, ND 58122-0170
(701) 234-6076
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RL19758
ND
Other
Enumeration date
07/04/2023
Last updated
07/04/2023
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