Cham Clinic Llc | |
941 Hillwind Rd Ne Ste 100a Fridley MN 55432-5963 | |
(763) 657-0569 | |
Not Available |
Full Name | Cham Clinic Llc |
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Speciality | Clinic/Center |
Location | 941 Hillwind Rd Ne Ste 100a, Fridley, Minnesota |
Authorized Official Name and Position | Inas R Muhidine (CEO) |
Authorized Official Contact | 6128899344 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cham Clinic Llc 941 Hillwind Rd Ne Ste 100a Fridley MN 55432-5963 Ph: (763) 657-0569 | Cham Clinic Llc 941 Hillwind Rd Ne Ste 100a Fridley MN 55432-5963 Ph: (763) 657-0569 |
NPI Number | 1871191403 |
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Provider Enumeration Date | 10/15/2020 |
Last Update Date | 05/16/2024 |
Medicare PECOS PAC ID | 2365855442 |
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Medicare Enrollment ID | O20210109000109 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871191403 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Inas R Muhidine |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952921769 PECOS PAC ID: 4486070299 Enrollment ID: I20200811002380 |
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