Individual provider · Type 1 NPI

Bashar Kamaleldin Ahmad Aldaraiseh, M.B.B.S.

Student in an Organized Health Care Education/Training Program · Minneapolis, MN

NPI number 1629708144 Active

Practice location

420 Delaware St SE Mmc 609 Mayo D142
Minneapolis, MN 55455

Call (612) 624-8133 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1629708144

Bashar Kamaleldin Ahmad Aldaraiseh, M.B.B.S.'s National Provider Identifier is 1629708144, issued on Jun 16, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Minneapolis, MN. The record was last updated on May 4, 2024.