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Contact Information

KAMRUN JENABZADEH, MD
9825 HOSPITAL DR STE 105
MAPLE GROVE, MN55369-4769
 Phone: 763-780-6699
 Fax: 763-420-0500
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for KAMRUN JENABZADEH · (Male)

NPI # 1558532606
Status Active
Credentials MD
Entity Individual
Enumeration date 03/17/2008
Last updated 11/18/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 50521
Hospital affiliation(s)
  • MAPLE GROVE HOSPITAL - (Acute Care)
    9875 HOSPITAL DRIVE
    MAPLE GROVE, MN 55369
  • NORTH MEMORIAL MEDICAL CENTER - (Acute Care)
    3300 OAKDALE NORTH
    ROBBINSDALE, MN 55422
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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