Healthcare Provider Details

I. General information

NPI: 1275228348
Provider Name (Legal Business Name): ZEYTUN MOHAMED GUYO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/05/2023
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 SAINT FRANCIS AVE STE 100
SHAKOPEE MN
55379-3384
US

IV. Provider business mailing address

2925 CHICAGO AVE
MINNEAPOLIS MN
55407-1321
US

V. Phone/Fax

Practice location:
  • Phone: 952-428-3535
  • Fax:
Mailing address:
  • Phone: 612-262-9000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number123
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: