Individual
AISHA ABDULRAZAQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2018016233
MO
2084N0400X
Neurology Physician
Primary
70835
MN
Other
Enumeration date
07/02/2018
Last updated
06/16/2022
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