Individual
AHMED ISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R-12313
IA
208M00000X
Hospitalist Physician
Primary
78121
MN
Other
Enumeration date
06/05/2019
Last updated
03/12/2025
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