MALIK GHANNAM (NPI# 1669995528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669995528 |
| Entity Type | Individual |
| Full Name | MALIK GHANNAM |
| Practice Address |
701 15th Ave Se Minneapolis MN 55414-4047 |
| Practice Telephone | 6126266519 |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2017-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
28818 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
701 15TH AVE SE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55414-4047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407496516 | Liza N Meredith | Psychologist | Acacia Counseling and Wellness, 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2020-01-07 |
| 1346888732 | Danielle Lee Ann Vogler-bos | Naturopath | 575 Se 9th St, Suite #52, Minneapolis, MN 55414 | 2019-12-16 |
| 1164071148 | Amy C Moran | Psychologist | Acacia Counseling & Wellness, 2724 University Ave., Unit B, Minneapolis, MN 55414 | 2019-09-11 |
| 1346806585 | Kristen Bastug | Student in an Organized Health Care Education/Training Program | General Pediatrics and Adolescent Health, 1932k, 1717 Delaware Street Southeast, Suite 353, Minneapolis, MN 55414 | 2019-05-14 |
| 1053881698 | Lauren Michelle Scholder | Psychologist | 401 Main St Se Apt 7009, Minneapolis, MN 55414 | 2018-11-27 |
| 1427530666 | Kelli Howard | Psychologist | 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2018-09-04 |
| 1306370218 | Jiexiong Yang | Student in an Organized Health Care Education/Training Program | 814 Essex St Se, Minneapolis, MN 55414 | 2017-04-18 |
| 1598297699 | Patrick Curran | Student in an Organized Health Care Education/Training Program | 628 University Ave Se, Apt. 112, Minneapolis, MN 55414 | 2017-03-29 |
| 1679923957 | Jillian Theresa Tholen | Dietitian, Registered | 411 E Hennepin Ave, Minneapolis, MN 55414 | 2016-06-16 |
| 1073960290 | First Language Interpreter & Translation Services LLC | Interpreter | 2828 University Ave Se Suite 150, Minneapolis, MN 55414 | 2016-05-17 |
| Find all providers in zip 55414 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477903995 | James Albert Zeese Jr. | Psychiatry & Neurology | 2401 Laurel Avenue, Minneapolis, MN 55405 | 2016-06-15 |
| 1699079533 | Gilbert Westreich | Psychiatry & Neurology | 1779 Emerson Ave South, Minneapolis, MN 55403-2909 | 2011-01-07 |
| 1801089024 | Bruce Merrtill Tennebaum | Psychiatry & Neurology | 3812 Zenith Ave S, Minneapolis, MN 55410-1167 | 2007-08-21 |
| 1942355490 | Adam Forbes Carpenter | Psychiatry & Neurology | 420 Delaware St Se, Clinic 1a, Phillips Wangensteen Building, Minneapolis, MN 55455 | 2007-01-24 |
| 1821172123 | John Riley Mccarten | Psychiatry & Neurology | One Veterans' Drive Minneapolis Vamc, Geriatric Research Education and Clinical Center, 11-g, Minneapolis, MN 55417 | 2006-10-24 |
| 1811085137 | Paul J Tuite | Psychiatry & Neurology | Pwb First Floor, Clinic 1a, 516 Delaware Street Se, Minneapolis, MN 55455 | 2006-10-11 |
| 1326143553 | Scott Mitchell Lewis | Psychiatry & Neurology | 1 Veterans Dr # 11b, Minneapolis, MN 55417-2309 | 2006-09-13 |
| 1649372350 | David Allan Rottenberg | Psychiatry & Neurology | 516 Delaware Street Se, Clinic 1a, Neurology Clinic, Minneapolis, MN 55455-0346 | 2006-09-02 |
| 1538174073 | Ilo Elmar Leppik | Psychiatry & Neurology | 5775 Wayzata Blvd Ste 200, Minneapolis, MN 55416-1227 | 2006-07-31 |
| 1215973474 | Lee E Osborne | Psychiatry & Neurology | 701 Park Ave # P5, Minneapolis, MN 55415-1623 | 2006-06-22 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55414 |
Please comment or provide details below to improve the information on MALIK GHANNAM.
| 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.