| Dr Mohamad Ibrahim Itani, MD | |
| 420 Delaware St Se, Minneapolis, MN 55455-0341 | |
| (651) 491-4295 | |
| Not Available | 
| Full Name | Dr Mohamad Ibrahim Itani | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine - Gastroenterology | 
| Location | 420 Delaware St Se, Minneapolis, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1023698131 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 79942 (Minnesota) | Primary | 
| 207R00000X | Internal Medicine | 79942 (Minnesota) | Secondary | 
| Entity Name | Signify Health Medical Associates Of California Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1124685169 PECOS PAC ID: 8325370570 Enrollment ID: O20191022000320 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Mohamad Ibrahim Itani, MD 420 Delaware St Se, Minneapolis, MN 55455-0341 Ph: (651) 491-4295 | Dr Mohamad Ibrahim Itani, MD 420 Delaware St Se, Minneapolis, MN 55455-0341 Ph: (651) 491-4295 | 
| Pascal Frino, M.D Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-467-3183 | |
| Dr. Ronald Alexander Reilkoff, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 909 Fulton St Se, Minneapolis, MN 55455 Phone: 612-672-7422 | |
| Dr. Traci Arnette Roberts, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 612-863-4000 Fax: 763-236-3026 | |
| Eugenia Shmidt, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 909 Fulton St Se, Minneapolis, MN 55455 Phone: 507-284-2511 | |
| Daniel Tesfaye Kebed, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-672-6000 Fax: 612-273-4098 | |
| Tenzin Yangchen, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 612-863-4000 Fax: 763-236-3026 | |
| Dr. Joseph E. Kumka, MD, PHD Gastroenterology Medicare: Medicare Enrolled Practice Location: 500 Harvard St Se, Minneapolis, MN 55455 Phone: 612-273-3000 |