Provider Demographics
NPI:1114737863
Name:ZAHRAN, SALMA
Entity type:Individual
Prefix:
First Name:SALMA
Middle Name:
Last Name:ZAHRAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4141 CENTRAL AVE NE STE 103
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55421-3601
Mailing Address - Country:US
Mailing Address - Phone:763-245-6180
Mailing Address - Fax:612-314-8983
Practice Address - Street 1:4141 CENTRAL AVE NE STE 103
Practice Address - Street 2:
Practice Address - City:COLUMBIA HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55421-3601
Practice Address - Country:US
Practice Address - Phone:763-245-6180
Practice Address - Fax:612-314-8983
Is Sole Proprietor?:No
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNN21213200246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy