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Individual

MOHAMMED SHAEZOR KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9055 SPRINGBROOK DR NW, ALLINA MEDICAL CLINIC-COON RAPIDS, COON RAPIDS, MN 55433-5841
(763) 780-9155
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036133682
IL
207Q00000X
Family Medicine Physician
51603
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
19276
RESIDENT PERMIT
MN
Enumeration date
05/07/2008
Last updated
06/04/2025
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