Organization
SHIFA MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED OMAR (MEDICAL DIRECTOR)
(612) 351-7421
Entity
Organization
Contact information
Practice address
200 W LAKE ST STE 402, MINNEAPOLIS, MN 55408-3023
(612) 351-7421
Mailing address
14264 IRVING AVE S APT 163, BURNSVILLE, MN 55306-6117
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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