Individual
AYMAN SOUBRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 DELAWARE ST SE, MMC 394, MINNEAPOLIS, MN 55455-0341
(612) 625-8364
Mailing address
420 DELAWARE ST SE, MMC 394, MINNEAPOLIS, MN 55455-0341
(612) 625-8364
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
321597
LA
208800000X
Urology Physician
Primary
DR.0066907
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/20/2015
Last updated
07/19/2021
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