Individual provider · NPI-1

Aisha Abdulrazaq

Psychiatry & Neurology, Neurology · Rochester, MN

NPI number1891281846
StatusActive
Last updated in NPPESJun 16, 2022

Details

NPI
1891281846
Entity type
Individual (NPI-1)
Name
Aisha Abdulrazaq
Sex
Female
Sole proprietor
No
Enumeration date
Jul 2, 2018
Certification date
Jun 16, 2022
Last updated
Jun 16, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, Neurology70835MNYes
207R00000X Internal Medicine2018016233MO

Practice location

200 1st St Sw
Rochester, MN 55905-0001

Phone 507-284-2511

Mailing address

200 1st St Sw
Rochester, MN 55905-0001

Phone 507-284-2511

Other practice locations

1 Hospital Dr # Ma423
Columbia, MO 65212-1000

Phone 573-884-1606 · Fax 573-884-4533

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