Healthcare Provider Details

I. General information

NPI: 1518585470
Provider Name (Legal Business Name): MESHREF AYED ALSHEHRI M.B.B.S
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2020
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date: 01/19/2022
Reactivation Date: 04/18/2022

III. Provider practice location address

200 1ST ST SW
ROCHESTER MN
55905-0001
US

IV. Provider business mailing address

PO BOX 860912
MINNEAPOLIS MN
55486-0912
US

V. Phone/Fax

Practice location:
  • Phone: 507-284-2511
  • Fax:
Mailing address:
  • Phone: 507-284-2511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number79175
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number79175
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: