Individual provider · NPI-1

Malak Alzidaneen, MD

Student in an Organized Health Care Education/Training Program · Fargo, ND

NPI number1629866181
StatusActive
Last updated in NPPESMay 14, 2025

Details

NPI
1629866181
Entity type
Individual (NPI-1)
Name
Malak Alzidaneen
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Apr 25, 2025
Certification date
May 14, 2025
Last updated
May 14, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

5225 23rd Ave S
Fargo, ND 58104-7927

Phone 885-302-2928

Mailing address

3706 4th St E
West Fargo, ND 58078-4817

Phone 313-442-3065 · Fax 313-442-3065

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