Individual
AMIR A. MEHBOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
913 E 26TH ST, 600, MINNEAPOLIS, MN 55404-4515
(612) 775-6200
(612) 775-6222
Mailing address
913 E 26TH ST, 600, MINNEAPOLIS, MN 55404-4515
(612) 775-6200
(612) 775-6222
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
41208
MN
207R00000X
Internal Medicine Physician
41208
MN
207X00000X
Orthopaedic Surgery Physician
Primary
41208
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074289900
—
MN
Enumeration date
06/04/2006
Last updated
10/20/2020
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