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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

FARUK S ABUZZAHAB SR, M.D., PHD
3601 PARK CENTER BLVD
SUITE 207
SAINT LOUIS PARK, MN55416-2531
 Phone: 952-926-3364
 Fax: 952-926-3369
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for FARUK S ABUZZAHAB SR · (Male)

NPI Number 1396714705
Credentials M.D., PHD
Entity Individual
Enumeration date 03/16/2006
Last updated 05/27/2008 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
MN License # 17068
MN Medicaid 260000176
MN Medicaid 938573800
MN Medicare (Unspecified) B58524
Hospital affiliation(s) n/a
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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