Healthcare Provider Details

I. General information

NPI: 1780901801
Provider Name (Legal Business Name): RHAMY NABIL MAGID M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2010
Last Update Date: 05/31/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

347 SMITH AVE N SUITE 302
SAINT PAUL MN
55102-2387
US

IV. Provider business mailing address

347 SMITH AVE N SUITE 302
SAINT PAUL MN
55102-2387
US

V. Phone/Fax

Practice location:
  • Phone: 651-220-6700
  • Fax: 651-220-6807
Mailing address:
  • Phone: 651-220-6700
  • Fax: 651-220-6807

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number54502
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: