Individual
MR. MOUHANNA KHALED MAHMOUD ABU GHANIMEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1205 S GRANGE AVE, SIOUX FALLS, SD 57105-0407
(605) 328-6585
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2014014710
MO
207RG0100X
Gastroenterology Physician
Primary
12467
SD
Other
Enumeration date
04/29/2014
Last updated
04/18/2022
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