Individual
BENHOOR SOUMEKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2211 PARK AVE, MINNEAPOLIS, MN 55404-3753
(612) 871-1144
(612) 871-2012
Mailing address
2211 PARK AVE, MINNEAPOLIS, MN 55404-3753
(612) 871-1144
(612) 871-2012
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
34277
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000010
MEDICA PRIMARY
MN
01
—
1000110
MEDICA CHOICE
MN
01
—
1011165
PREFERRED ONE
MN
01
—
111715
UCARE
MN
01
—
111715
UCARE
—
01
—
25905
AMERICA'S PPO
MN
05
—
32281600
—
WI
01
—
62D65S0
BLUE SHIELD
MN
05
—
639406000
—
MN
Enumeration date
08/30/2005
Last updated
05/17/2013
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