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MIZAN MEDICAL GROUP PLLC
NPI 1902602626
Internal Medicine in Minneapolis, MN

Active since February 22, 2025
200 W LAKE ST STE 128, MINNEAPOLIS, MN 55408(612) 205-1113 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 27, 2025, Feb 22, 2025 (2 updates tracked since 2025).

About Mizan Medical Group Pllc NPPES

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

MIZAN MEDICAL GROUP PLLC (NPI 1902602626) is a healthcare organization registered as an internal medicine in Minneapolis, Minnesota and active in the NPI registry since February 2025. The organization lists Sadik A. Ali, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1902602626
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMIZAN MEDICAL GROUP PLLC
Location Address200 W LAKE ST STE 128Minneapolis, MN 55408-5303
Mailing Address400 S 4th St Ste 401-1076Minneapolis, MN 55415-1411 · (612) 205-1113
Phone(612) 205-1113
Organization SubpartNo
Authorized OfficialSadik A. AliMedical Director · (612) 205-1113
Enumeration DateFebruary 22, 2025
Last NPPES UpdateMarch 27, 20252 updates tracked since enumeration
NPPES CertifiedMarch 27, 2025
✔ NPI 1902602626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
200 W LAKE ST STE 128, Minneapolis, MN 55408
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAYATI WELLNESS AND GLOW CLINIC
Clinic/Center
200 W LAKE ST STE 128
MINNEAPOLIS, MN 55408
Hennepin County (773) 251-6568

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 Mizan Medical Group PLLC's NPI number?

The NPI number for Mizan Medical Group PLLC is 1902602626. It was assigned to this organization in the NPPES registry on February 22, 2025.

Where is Mizan Medical Group PLLC located?

Mizan Medical Group PLLC is located at 200 W Lake St Ste 128, Minneapolis, MN 55408. The listed phone number is (612) 205-1113.

What is Mizan Medical Group PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Mizan Medical Group PLLC was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.