Provider Demographics
NPI:1497906242
Name:RAHMATULLAH, ZEERAQ (MD)
Entity Type:Individual
Prefix:DR
First Name:ZEERAQ
Middle Name:
Last Name:RAHMATULLAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ZEERAQ
Other - Middle Name:
Other - Last Name:MEGHJI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6200 SHINGLE CREEK PKWY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BROOKLYN CENTER
Mailing Address - State:MN
Mailing Address - Zip Code:55430-2128
Mailing Address - Country:US
Mailing Address - Phone:763-561-5349
Mailing Address - Fax:763-561-6285
Practice Address - Street 1:6200 SHINGLE CREEK PKWY
Practice Address - Street 2:300
Practice Address - City:BROOKLYN CENTER
Practice Address - State:MN
Practice Address - Zip Code:55430-2128
Practice Address - Country:US
Practice Address - Phone:763-561-5349
Practice Address - Fax:763-561-6285
Is Sole Proprietor?:No
Enumeration Date:2008-10-09
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN37940207RN0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology