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1215171285

NPI Code Detail

MEDICARE: MOEED ASGHAR MBBS

MEDICARE: MOEED ASGHAR MBBS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	04-43672	KS
2	208M00000X	Hospitalist Physician	04-43672	KS
3	390200000X	Student in an Organized Health Care Education/Training Program	26460	OK
4	207RP1001X	Pulmonary Disease Physician	59064	MN
5	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	72612-20	WI

General Provider Information

NPI Number	:	1215171285
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOEED ASGHAR MBBS

Provider Business Mailing Address
First Line	:	2800 CAMPUS DR STE 10
Second Line	:
City	:	PLYMOUTH
State	:	MN
Zip	:	55441-8812
Country	:	US
Telephone Number	:	763-398-4400
Fax Number	:	620-275-4306

Provider Business Practice Location Address
First Line	:	3366 OAKDALE AVE N STE 401
Second Line	:
City	:	ROBBINSDALE
State	:	MN
Zip	:	55422-2986
Country	:	US
Telephone Number	:	763-398-6383
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2009
Last Update Date	:	05/03/2024

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Directions to “ MOEED ASGHAR MBBS” Practice Location

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