Individual
SHAKEEL ANJUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-5131
(320) 240-2118
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-5131
(320) 240-2118
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
42474
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1040410
PREFERRED ONE
—
01
—
131075
U CARE
—
01
—
2013639
ARAZ GROUP AMERICAS PPO
—
01
—
2197290
FIRST HEALTH PLAN
—
01
—
3100203
MEDICA HEALTH PLANS
—
01
—
6D05CE
BLUE CROSS BLUE SHIELD
—
01
—
706S0AN
BLUE CROSS BLUE SHIELD
—
01
—
801974600
MEDICAL ASSISTANCE
—
01
—
CI1369
RR MEDICARE
—
01
—
HP40048
HEALTH PARTNERS
—
01
—
P00089413
RR MEDICARE
—
Enumeration date
10/25/2005
Last updated
07/09/2025
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