Elham Akhlaghi
Individual provider Active NPI Periodontics · Minneapolis, MN
NPI 1861784050 · NPPES record last updated May 6, 2011
Key facts
- NPI
- 1861784050
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Periodontics 1223P0300X
- License
- FL26 (MN)
- Practice address
- 515 Delaware Street
Minneapolis, MN 55455 - Phone
- (612) 232-7374
- NPI assigned
- May 6, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FL26 | MN | MD | Periodontist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | FL26 | MN | Yes |
Addresses
Primary practice location
515 Delaware Street
Minneapolis, MN 55455
Mailing address
17010 40TH PL N
Plymouth, MN 55446-3357
Phone (763) 208-1574
Other providers in Minneapolis, MN
- Angela Emily Akenson
- Laura Akerman
- Simon Akerman
- Emma Lou Akers
- Elizabeth Anne Akerson
- Ambika Akhoury
- Mohammed S Akhter
- Omolara Victoria Akinde
- Akinbolaji Akingbola
- Azeez Akinlolu
All providers in Minneapolis, MN · Periodontics in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.