Provider Demographics
NPI:1447997366
Name:ALMASRI, TALAL NAEL (MBBS)
Entity type:Individual
Prefix:MR
First Name:TALAL
Middle Name:NAEL
Last Name:ALMASRI
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 PARK AVENUE SOUTH
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55415
Mailing Address - Country:US
Mailing Address - Phone:612-873-8722
Mailing Address - Fax:612-904-4263
Practice Address - Street 1:701 PARK AVENUE SOUTH
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55415
Practice Address - Country:US
Practice Address - Phone:612-873-8722
Practice Address - Fax:612-904-4263
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-13
Last Update Date:2023-05-01
Deactivation Date:2023-01-13
Deactivation Code:
Reactivation Date:2023-05-01
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program