| Madeeha Drissi, MD | |
|
2720 Fairview Ave N Ste 200, Roseville, MN 55113-1306 | |
| (651) 633-6883 | |
| Not Available |
| Full Name | Madeeha Drissi |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Location | 2720 Fairview Ave N Ste 200, Roseville, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437716057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 75745 (Minnesota) | Primary |
| Entity Name | Tareen Dermatology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063782621 PECOS PAC ID: 8123288156 Enrollment ID: O20120328000470 |
| Mailing Address | Practice Location Address |
|---|---|
| Madeeha Drissi, MD 2720 Fairview Ave N Ste 200, Roseville, MN 55113-1306 Ph: (651) 633-6883 | Madeeha Drissi, MD 2720 Fairview Ave N Ste 200, Roseville, MN 55113-1306 Ph: (651) 633-6883 |
Laura Michelle Rezac, MD Dermatology Medicare: Medicare Enrolled Practice Location: 2720 Fairview Ave N, Roseville, MN 55113 Phone: 651-634-1410 Fax: 651-689-8340 | |
Dr. Mohiba K Tareen, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1835 County Road C W, 250, Roseville, MN 55113 Phone: 651-633-6883 Fax: 651-528-6276 | |
Yun Xue Kao, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 2720 Fairview Ave N Ste 200, Roseville, MN 55113 Phone: 651-633-6883 |