Individual
DR. KHALED SAMIH ZREIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102
(701) 234-2305
Mailing address
PO BOX 2168, FARGO, ND 58107-2168
(701) 234-2119
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
11246
ND
208600000X
Surgery Physician
50591
MN
2086S0102X
Surgical Critical Care Physician
Primary
11246
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17587
—
ND
Enumeration date
03/14/2008
Last updated
06/06/2018
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