Healthcare Provider Details

I. General information

NPI: 1114737863
Provider Name (Legal Business Name): SALMA ZAHRAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/13/2025
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 PINE TREE DR
ARDEN HILLS MN
55112-3754
US

IV. Provider business mailing address

2 PINE TREE DR
ARDEN HILLS MN
55112-3754
US

V. Phone/Fax

Practice location:
  • Phone: 763-245-6180
  • Fax:
Mailing address:
  • Phone: 763-245-6180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberN21213200
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: