Individual provider · NPI-1

Suha Faisal Omar Abu Khalaf, MD

Internal Medicine, Infectious Disease · Fargo, ND

NPI number1235623331
StatusActive
Last updated in NPPESJun 26, 2023

Details

NPI
1235623331
Entity type
Individual (NPI-1)
Name
Suha Faisal Omar Abu Khalaf
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jun 21, 2018
Certification date
Jun 26, 2023
Last updated
Jun 26, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RI0200X Internal Medicine, Infectious Disease19017NDYes
207R00000X Internal Medicine2018016234MO
207RI0200X Internal Medicine, Infectious Disease2021017474MO

Practice location

3000 32nd Ave S
Fargo, ND 58103-6132

Phone 701-364-8900

Mailing address

3000 32nd Ave S
Fargo, ND 58103-6132

Phone 701-364-8900

Other practice locations

1 Hospital Dr
Columbia, MO 65212-1000

Phone 573-882-0808

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