MEDICARE: DR. SAKINA B NAQVI M.D

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	53422	MN
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	53422	MN

General Provider Information

NPI Number	:	1619108693
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAKINA B NAQVI M.D

Provider Business Mailing Address
First Line	:	3100 KENNARD ST STE 220
Second Line	:
City	:	MAPLEWOOD
State	:	MN
Zip	:	55109-5465
Country	:	US
Telephone Number	:	651-471-1166
Fax Number	:	651-232-4972

Provider Business Practice Location Address
First Line	:	3100 KENNARD ST STE 220
Second Line	:
City	:	MAPLEWOOD
State	:	MN
Zip	:	55109-5465
Country	:	US
Telephone Number	:	651-471-1166
Fax Number	:	651-232-4972

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

Provider Enumeration Date	:	08/07/2009
Last Update Date	:	05/13/2015

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