Individual
SOGAND B GHASSEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5500 94TH AVE N, BROOKLYN PARK, MN 55443-1992
(763) 762-8810
(763) 315-6685
Mailing address
5500 94TH AVE N, BROOKLYN PARK, MN 55443-1992
(763) 762-8810
(763) 315-6685
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
56553
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
06/01/2011
Last updated
09/14/2020
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