Provider Demographics
NPI:1467585349
Name:ALMANASEER, YASSAR (MD)
Entity Type:Individual
Prefix:DR
First Name:YASSAR
Middle Name:
Last Name:ALMANASEER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5074
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57117-5074
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5225 23RD AVE S
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104-7927
Practice Address - Country:US
Practice Address - Phone:701-417-2575
Practice Address - Fax:701-417-2535
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN49649207RI0011X
ND11649207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND15393Medicaid
MNHP81336OtherHEALTH PARTNERS
MNNA2951051651OtherPREFERRED ONE
MNP00631756OtherRR MEDICARE
MN758105100Medicaid
MN62616OtherSANFORD HEALTH PLAN
MN139600OtherUCARE
MN230D3ALOtherBCBSM
MN758105100Medicaid
MN230D3ALOtherBCBSM
ND715467Medicare PIN