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DR. KHALAFALLA BUSHARA M.B. B.S. NPI 1841226735


NPI Information

NPI: 1841226735
Provider Name: DR. KHALAFALLA BUSHARA, M.B., B.S.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
UNIVERSITY OF MINNESOTA PHYSICIANS
516 DELAWARE STREET SE, PWB FIRST FLOOR, CLINIC 1A
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 626-3004
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DR. Khalafalla Bushara, M.B., B.S. is a neurology psychiatry neurology in Minneapolis, MN with 36 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Khalafalla Bushara, M.B., B.S. NPI is 1841226735. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

UNIVERSITY OF MINNESOTA PHYSICIANS
516 DELAWARE STREET SE, PWB FIRST FLOOR, CLINIC 1A
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 626-3004

The NPI 1841226735 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/23/2006 and was last updated on 7/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurology44165MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
105-00449OTHERMINNESOTAMEDICA CHOICE
2397R2BUOTHERMINNESOTABCBS
3HP34287OTHERMINNESOTAHEALTHPARTNERS
41518044OTHERMINNESOTAARAZ
5141527OTHERMINNESOTAUCARE
61029761OTHERMINNESOTAPREFERRED ONE
7G15419MEDICARE UPINMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.