Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EVERAID UBANGOH FOKIM, MDT
Active Sole ProprietorEVERAID UBANGOH FOKIM, MDT is a 125J00000X healthcare provider located in COON RAPIDS, Minnesota. NPI 1316617491 is currently active in the NPPES registry. Verify at CMS.
125J00000X · COON RAPIDS, MN
Registration Details
- NPI Number
- 1316617491
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2021 (4.8577304899056 yrs)
- Last Updated
- Sep 20, 2021
- Licenses
-
H10783 (MN)DT130 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9920 FOLEY BLVD NWCOON RAPIDS, MN, 554334579Browse MN providers · Browse ZIP 55433
- Phone
- 7633171166
- Primary Specialty
-
125J00000X
125J00000X
- Additional Specialty
- 125J00000X
Other 125J00000X Providers in COON RAPIDS, MN
| Name | Credential | NPI |
|---|---|---|
| CONNIE KARJALAHTI | RDH | 1053565044 |
| NEAL IRION | DT | 1043464035 |
| MRS. JENNIFER MARIE CAREY | RDH | 1831553312 |
| MS. THUY NGUYEN | DT | 1578032793 |
| GEMMA SHIRANI MOSHER | ADT124/LDH7581 | 1104436138 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.