Healthcare Provider Details

I. General information

NPI: 1215171285
Provider Name (Legal Business Name): MOEED ASGHAR MBBS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2009
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3366 OAKDALE AVE N STE 401
ROBBINSDALE MN
55422-2986
US

IV. Provider business mailing address

2800 CAMPUS DR STE 10
PLYMOUTH MN
55441-8812
US

V. Phone/Fax

Practice location:
  • Phone: 763-398-6383
  • Fax:
Mailing address:
  • Phone: 763-398-4400
  • Fax: 620-275-4306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number26460
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number72612-20
License Number StateWI
# 3
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number59064
License Number StateMN
# 4
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number04-43672
License Number StateKS
# 5
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number04-43672
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: