Provider Demographics
NPI:1093754921
Name:MOHEET, AMIR (MBBS)
Entity Type:Individual
Prefix:DR
First Name:AMIR
Middle Name:
Last Name:MOHEET
Suffix:
Gender:M
Credentials:MBBS
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Mailing Address - Street 1:420 DELAWARE ST SE
Mailing Address - Street 2:MMC 101 DIVISION OF ENDOCRINOLOGY & DIABETES
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:612-624-5150
Mailing Address - Fax:612-626-3133
Practice Address - Street 1:420 DELAWARE ST SE
Practice Address - Street 2:MMC 101 DIVISION OF ENDOCRINOLOGY & DIABETES
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455
Practice Address - Country:US
Practice Address - Phone:612-624-5150
Practice Address - Fax:612-626-3133
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY247441207R00000X
MN52306207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02758161Medicaid
RB0713Medicare PIN
NY02758161Medicaid