Individual
AVISH NAGPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
736 BROADWAY N, FARGO, ND 58102-4421
(701) 234-2000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
104958
MN
207RI0200X
Infectious Disease Physician
Primary
12554
ND
207RI0200X
Infectious Disease Physician
53421
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18082
—
ND
05
—
ENROLLED
—
MN
01
—
P01176239
RAILROAD MEDICARE
MN
Enumeration date
10/17/2008
Last updated
07/17/2023
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