Organization
NEUROSURGICAL ASSOCIATES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHMOUD GAMAL NAGIB M.D. (PRESIDENT)
(612) 871-7278
Entity
Organization
Contact information
Practice address
800 E 28TH ST, 305 PIPER BLDG., MINNEAPOLIS, MN 55407-3723
(612) 871-7278
(612) 879-7189
Mailing address
800 E 28TH ST, 305 PIPER BLDG., MINNEAPOLIS, MN 55407-3723
(612) 871-7278
(612) 879-7189
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
291
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12483NE
BLUE CROSS BLUE SHIELD
MN
05
—
32719700
—
WI
Enumeration date
05/26/2006
Last updated
08/22/2020
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