Individual
MOHAMED MANAA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 ANNE ST NW, BEMIDJI, MN 56601-5103
(218) 333-5000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9419
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
23208
ND
208M00000X
Hospitalist Physician
Primary
79039
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2022
Last updated
11/28/2025
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