Individual
MONA M FAHMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
9801 DUPONT AVE S STE 200, BLOOMINGTON, MN 55431-3200
(528) 885-8009
(952) 567-6156
Mailing address
9801 DUPONT AVE S, 425, BLOOMINGTON, MN 55431-3100
(952) 567-6092
(952) 884-2656
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
3084
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
776473000
—
MN
Enumeration date
08/05/2007
Last updated
05/04/2023
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