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BASHAR KAMALELDIN AHMAD ALDARAISEH M.B.B.S.
NPI 1629708144
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since June 16, 2022
420 DELAWARE ST SE MMC 609 MAYO D142, MINNEAPOLIS, MN 55455(612) 624-8133 Get Directions Write a Review

NPPES record last updated: May 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 4, 2024, Feb 1, 2023 (2 updates tracked since 2023).

About Bashar Kamaleldin Ahmad Aldaraiseh M.b.b.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BASHAR KAMALELDIN AHMAD ALDARAISEH M.B.B.S. (NPI 1629708144) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1629708144
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBASHAR KAMALELDIN AHMAD ALDARAISEHCredential: M.B.B.S.
Location Address420 DELAWARE ST SE MMC 609 MAYO D142Minneapolis, MN 55455
Mailing Address420 Delaware St Se Mmc 609 Mayo D142Minneapolis, MN 55455 · (612) 624-8133
Phone(612) 624-8133
Sole ProprietorNo
Enumeration DateJune 16, 2022
Last NPPES UpdateMay 4, 20242 updates tracked since enumeration
NPPES CertifiedMay 4, 2024
✔ NPI 1629708144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
420 DELAWARE ST SE MMC 609 MAYO D142, Minneapolis, MN 55455
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bashar Aldaraiseh's NPI number?

The NPI number for Bashar Aldaraiseh is 1629708144. It was assigned to this individual provider in the NPPES registry on June 16, 2022.

Where is Bashar Aldaraiseh located?

Bashar Aldaraiseh practices at 420 Delaware St SE Mmc 609 Mayo D142, Minneapolis, MN 55455. The listed phone number is (612) 624-8133.

What is Bashar Aldaraiseh's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Bashar Aldaraiseh was last updated on May 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.