Individual
SHAHRIOR IMRUL KAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ANP-BC, C.N.P.
Contact information
Practice address
5101 MINNEHAHA AVE, MINNEAPOLIS, MN 55417-1647
(612) 548-5830
Mailing address
5101 MINNEHAHA AVE, MINNEAPOLIS, MN 55417-1647
(612) 548-5830
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R 183010 -1
MN
Other
Enumeration date
04/16/2012
Last updated
10/30/2018
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