Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 62130 | MN |
NPI | 1154671873 |
---|---|
Provider Name | Manarmohammad Sharif Abdalgani |
First Address | Richmond, VA 23298-0263 |
Second Address | Minneapolis, MN 55404 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2012 |
Last Update Date | 07/08/2018 |