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NPI Code Detail

MEDICARE: SHIHAB KAMAL ADAM

MEDICARE: SHIHAB KAMAL ADAM
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1245023027
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIHAB KAMAL ADAM
Provider Business Mailing Address
First Line : 2211 RIVERSIDE AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55454-7505
Country : US
Telephone Number : 715-531-5493
Fax Number :
Provider Business Practice Location Address
First Line : 2211 RIVERSIDE AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55454-7505
Country : US
Telephone Number : 715-531-5493
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2025
Last Update Date : 04/08/2026

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Directions to “ SHIHAB KAMAL ADAM ” Practice Location

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