DR. SAAKWA MANTE M.D. NPI 1962457598

NPI Information

NPI: 1962457598
Provider Name: DR. SAAKWA MANTE, M.D.
Classification: Internal Medicine - 207RA0201X
Entity Type: Individual

Specialization: Allergy & Immunology

PECOS Registration: Yes

Address:
1702 UNIVERSITY DR S
FARGO, ND
ZIP 58103
Phone: (701) 364-3300
Get Directions

DR. Saakwa Mante, M.D. is an allergy and immunology internal medicine in Fargo, ND with 38 years of experience. The provider is an internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. DR. Saakwa Mante, M.D. NPI is 1962457598. 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:

1702 UNIVERSITY DR S
FARGO, ND
ZIP 58103-940
Phone: (701) 364-3300
Fax: (701) 364-8906

The NPI 1962457598 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 5/23/2006 and was last updated on 12/23/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207K00000X	Allergy & Immunology		04-31638	KANSAS	No
2	207R00000X	Internal Medicine		04-31638	KANSAS	No
3	207K00000X	Allergy & Immunology		13206	NORTH DAKOTA	No
4	207RA0201X	Internal Medicine	Allergy & Immunology	13206	NORTH DAKOTA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	F88794	MEDICARE UPIN
2	1457334	MEDICAID	NORTH DAKOTA
3	200367290A	MEDICAID	KANSAS

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

NPI Synchronization or Removal

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