Individual
DR. MASOOD RAHEEM GHAZALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B., B.S.
Contact information
Practice address
3833 COON RAPIDS BLVD NW, SUITE 100, COON RAPIDS, MN 55433-2697
(763) 427-8320
(763) 302-4338
Mailing address
3833 COON RAPIDS BLVD NW, SUITE 100, COON RAPIDS, MN 55433-2697
(763) 427-8320
(763) 302-4338
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
32599
IA
2084N0400X
Neurology Physician
Primary
37127
MN
2084N0400X
Neurology Physician
48814
WI
2084N0600X
Clinical Neurophysiology Physician
37127
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0500666
MEDICA
MN
01
—
1013385
PREFERRED ONE
MN
01
—
116880C029
UCARE
MN
05
—
1528012051
—
MN
01
—
1762066
AMERICA'S PPO
MN
01
—
314G7GH
BCBS OF MN
MN
05
—
32343300
—
WI
01
—
HP21617
HEALTHPARTNERS
MN
01
—
P00228750
RAILROAD MEDICARE
MN
Enumeration date
05/20/2006
Last updated
05/18/2022
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