Individual provider · Type 1 NPI

Mazen Kherallah, MD

Critical Care Medicine (Internal Medicine) Physician · Fargo, ND

NPI number 1922025691 Active

Practice location

801 Broadway N
Fargo, ND 58102-3641

Call (701) 234-7200 Map

Fax (701) 234-7225

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine (Internal Medicine) Physician 207RC0200X9502 (ND)
Critical Care Medicine (Internal Medicine) Physician Primary 207RC0200X036083445 (IL)

Critical Care Medicine (Internal Medicine) Physician: An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

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About NPI 1922025691

Mazen Kherallah, MD's National Provider Identifier is 1922025691, issued on Jul 17, 2006. The primary taxonomy on file is Critical Care Medicine (Internal Medicine) Physician (207RC0200X), and the practice location is in Fargo, ND. The record was last updated on Oct 19, 2026.