NPI 1972121564 · live from the CMS NPI Registry
Hamza Mohammad Khudir Altaie, MD
Family Medicine in Minneapolis, MN. National Provider Identifier 1972121564, active.
NPI record
| NPI | 1972121564 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 2925 Chicago Ave, Minneapolis, MN 55407 |
| Practice phone | 612-863-4000 |
| Enumerated | July 9, 2020 |
| Last updated | August 28, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — (NM) |
| Family Medicine primary | 207Q00000X | 76410 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.