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Individual

AKRAM HUSSAIN DASTAGIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4225 GOLDEN VALLEY RD, GOLDEN VALLEY, MN 55422-4215
(763) 588-0661
Mailing address
4225 GOLDEN VALLEY RD, GOLDEN VALLEY, MN 55422-4215
(763) 588-0661

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301097171
MI
2084N0400X
Neurology Physician
64398-20
WI
2084N0400X
Neurology Physician
Primary
66845
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
66845
MN LICENSE
MN
Enumeration date
08/18/2010
Last updated
05/18/2022
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