Individual
MASUD H KHANDAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
49773
MN
207RC0000X
Cardiovascular Disease Physician
Primary
49773
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35169500
—
WI
05
—
934618100
—
MN
05
—
ENROLLED
—
IA
Enumeration date
02/12/2007
Last updated
08/06/2008
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