Zohaib Jawed Abubaker

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Minneapolis, MN

NPI 1295420941 · NPPES record last updated Apr 10, 2023

Key facts

NPI
1295420941
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
701 Park Ave
Minneapolis, MN 55415-1623
Phone
(612) 873-3000
NPI assigned
Apr 10, 2023
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230624000063 MN Order and Referring Only - Internal Medicine
Practitioner - Internal Medicine
2961860804

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

701 Park Ave
Minneapolis, MN 55415-1623

Mailing address

701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-3000

Other providers in Minneapolis, MN

All providers in Minneapolis, MN · Student in an Organized Health Care Education/Training Program in Minnesota

Sources for this page

Verify at the official NPI Registry.