Individual
SASAN MOSADEGHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.S.
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 672-7422
Mailing address
1411 E 31ST ST, OAKLAND, CA 94602-1018
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A127220
CA
207RG0100X
Gastroenterology Physician
Primary
64939
MN
Other
Enumeration date
11/06/2013
Last updated
12/01/2021
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