Individual
DR. NAWAL R. ABUL-KHOUDOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1720 HIGHWAY 59 S, THIEF RIVER FALLS, MN 56701-4331
(218) 681-4747
(218) 671-2595
Mailing address
1720 HIGHWAY 59 S, THIEF RIVER FALLS, MN 56701-4331
(218) 681-4747
(218) 671-2595
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
45503
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0405695
MEDICA #
MN
05
—
12967
—
MN
01
—
136998
UCARE #
MN
01
—
1833317
AMERICA'S PPO/ARAZ #
MN
01
—
23354
NDBS #
MN
01
—
371J5AB
MNBS #
MN
01
—
DA9021034672
PREFERRED ONE #
MN
01
—
HP38709
HEALTHPARTNERS #
MN
Enumeration date
05/18/2006
Last updated
07/09/2007
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