Individual
IBRAHIM ELALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
UCONN MEDICAL GROUP, 263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-4888
(860) 679-1153
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
055479
CT
207RN0300X
Nephrology Physician
Primary
71407
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/11/2006
Last updated
01/18/2024
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