MEDINA MEDICAL CLINIC & URGENT CARE NPI 1457957383

NPI Information

MEDINA MEDICAL CLINIC & URGENT CARE is a family medicine in Minneapolis, MN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MEDINA MEDICAL CLINIC & URGENT CARE NPI is 1457957383. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1516 E LAKE ST STE 1512
MINNEAPOLIS, MN
ZIP 55407-997
Phone: (651) 361-0029

The provider's authorized official is Ubah Ahmed Keynan .
The authorized official title is Provider/medical Director and has the following contact phone number (612) 229-0285.

The CLIA number assigned to this NPI record is 24D2212326 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/7/2020 and was last updated on 4/25/2024.

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:

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