Mehdi Dastrange, M.D., M.H.A.
Hospitalist in Saint Paul, MN. Individual provider (NPI-1).
NPI number1982967139
StatusActive
Last updated in NPPESOct 16, 2020
Details
- NPI
- 1982967139
- Entity type
- Individual (NPI-1)
- Name
- Mehdi Dastrange
- Credential
- M.D., M.H.A.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 22, 2012
- Certification date
- Oct 16, 2020
- Last updated
- Oct 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 56517 | MN | Yes |
Practice location
45 10th St WSaint Paul, MN 55102
Phone 651-326-3700
Mailing address
1690 University Ave W Ste 370Saint Paul, MN 55104-3723
Other practice locations
1025 Marsh St
Mankato, MN 56001-4752
Mankato, MN 56001-4752
Phone 507-625-4031
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