Provider Demographics
NPI:1407864150
Name:ALAMELDIN, HANADEE IBRAHIM (MBBS)
Entity Type:Individual
Prefix:
First Name:HANADEE
Middle Name:IBRAHIM
Last Name:ALAMELDIN
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:HANADEE
Other - Middle Name:IBRAHIM
Other - Last Name:ALAMELDIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1200 6TH AVE N
Mailing Address - Street 2:CENTRACARE CLINIC RIVER CAMPUS INTERNAL MEDICINE HOSPIT
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56303-2735
Mailing Address - Country:US
Mailing Address - Phone:320-252-5131
Mailing Address - Fax:320-255-5973
Practice Address - Street 1:1200 6TH AVE N
Practice Address - Street 2:CENTRACARE CLINIC RIVER CAMPUS INTERNAL MEDICINE HOSPIT
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303-2735
Practice Address - Country:US
Practice Address - Phone:320-252-5131
Practice Address - Fax:320-255-5973
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2017-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN103395207R00000X, 208M00000X
MN50207208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1407864150Medicaid
MN1407864150Medicaid
MN110011654Medicare PIN