Healthcare Provider Details

I. General information

NPI: 1528133782
Provider Name (Legal Business Name): V KARE, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11209 COMMERCE DR N
CHAMPLIN MN
55316-3122
US

IV. Provider business mailing address

11209 COMMERCE DR N
CHAMPLIN MN
55316-3122
US

V. Phone/Fax

Practice location:
  • Phone: 763-323-6564
  • Fax:
Mailing address:
  • Phone: 763-323-6564
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberD12190
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number42661
License Number StateMN

VIII. Authorized Official

Name: DR. MOHAMMED HUSSAIN
Title or Position: MEDICAL DIRECTOR
Credential:
Phone: 763-323-6564