Provider Demographics
NPI:1205945466
Name:ISHANI, AREEF (MD, MS)
Entity type:Individual
Prefix:DR
First Name:AREEF
Middle Name:
Last Name:ISHANI
Suffix:
Gender:M
Credentials:MD, MS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1 VETERANS DR # 111J
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55417-2309
Mailing Address - Country:US
Mailing Address - Phone:612-725-2098
Mailing Address - Fax:612-727-5640
Practice Address - Street 1:1 VETERANS DR # 111J
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55417-2309
Practice Address - Country:US
Practice Address - Phone:612-725-2098
Practice Address - Fax:612-727-5640
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN41641207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNI05232Medicare UPIN