Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 61449 | MN |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 61449 | MN |
NPI | 1306137047 |
---|---|
Provider Name | Dr. Bishoy Gad |
First Address | Edina, MN 55439 |
Second Address | Edina, MN 55439-2570 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2011 |
Last Update Date | 11/03/2021 |