DR. EDRISS ALI CHARAF (NPI# 1629267588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629267588 |
| Entity Type | Individual |
| Full Name | DR. EDRISS ALI CHARAF |
| Credential | MD |
| Practice Address |
1700 University Ave W Fl 7 Saint Paul MN 55104-3727 |
| Mailing Address |
1700 Spring Hill Ave Mobile AL 36604-1407 |
| Practice Telephone | 6512322273 |
| Mailing Telephone | 2514351200 |
| Mailing Fax Number | 2514356370 |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2019-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
MD29399 | AL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2451 Fillingim St Ste 10-d, Mobile, AL 366172238 | 2514717923 | |
| Essentia Health Duluth Clinic, 400 East Third Street, Duluth, MN 558051951 | 2187868364 |
| Street Address |
1700 UNIVERSITY AVE W FL 7 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-3727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548792021 | Clarissa L Mireau | Occupational Therapist | 1700 University Ave W Fl 7, Saint Paul, MN 55104-3727 | 2017-04-03 |
| 1740618768 | Lindsay Willgohs | Nurse Practitioner | 1700 University Ave W Fl 7, Saint Paul, MN 55104-3727 | 2013-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639464498 | Ryan J Koene | Internal Medicine | 172 6th St E, Saint Paul, MN 55101-1993 | 2011-06-09 |
| 1154384071 | Douglas David Hodgkin | Internal Medicine | 640 Jackson St, Saint Paul, MN 55101 | 2006-04-11 |
| 1912975871 | Michael Peterson | Internal Medicine | 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 | 2006-03-08 |
| 1992780423 | David Ned Dunbar | Internal Medicine | 225 Smith Ave N, Suite 500, Saint Paul, MN 55102-2534 | 2005-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043507577 | Yan Dong | Internal Medicine | 1001 E Superior St Ste 201, Duluth, MN 55802-2228 | 2011-07-05 |
| 1184662967 | Marco A Guerrero | Internal Medicine | 640 Jackson Street - Ms 11102m, Healthpartners Regions Specialty Clinics, St. Paul, MN 55101-2502 | 2006-06-03 |
| 1598390072 | Haley Stebbing | Internal Medicine | 800 E 28th St # H2100, Minneapolis, MN 55407-3723 | 2020-03-05 |
| 1477018596 | Darwin Yeung | Internal Medicine | 200 1st St Sw, Rochester, MN 55905 | 2019-02-02 |
| 1336628007 | Walid Barake | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0002 | 2018-08-13 |
| 1790203156 | Avi Sabbag | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2017-09-06 |
| 1366883712 | Fatima Ali-ahmed | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2013-07-15 |
| 1891044400 | Narayan Gurukrip Kowlgi | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2012-08-29 |
| 1992930101 | Archana Rajdev | Internal Medicine | 1200 6th Ave N, Saint Cloud, MN 56303-2736 | 2009-05-18 |
| 1770740417 | Siva K Mulpuru | Internal Medicine | 200 1st St Sw, Rochester, MN 55905 | 2008-05-20 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.