Individual provider · NPI-1

Bangean K Abdullah, MD

Family Medicine · Coon Rapids, MN

NPI number1952363137
StatusActive
Last updated in NPPESNov 6, 2020

Details

NPI
1952363137
Entity type
Individual (NPI-1)
Name
Bangean K Abdullah
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 4, 2006
Certification date
Nov 6, 2020
Last updated
Nov 6, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine39716MNYes

Practice location

9055 Springbrook Dr Nw
Coon Rapids, MN 55433-5841

Phone 763-780-9155

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Phone 612-262-5000

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