Individual
DR. ASHA MOHAMUD JAMA MADHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1025 MARSH ST, MANKATO, MN 56001
(507) 625-4031
Mailing address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
54720
MN
208M00000X
Hospitalist Physician
Primary
54720
MN
390200000X
Student in an Organized Health Care Education/Training Program
4301092392
MI
Other
Enumeration date
08/13/2008
Last updated
10/08/2020
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