NPI
Wala Abushehab
NPI 1508597873
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- DDS
- Type
- Individual
- Enumeration date
- 2022-06-18
- Last updated
- 2022-06-18
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Specialties
Licenses
- License MN
- 0000000
Location
- Practice location
- 13040 Riverdale Dr NW Ste 600
- City
- Coon Rapids MN
- Postal code
- 55448-8419
- Phone
- (763) 323-3042
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Coon Rapids, MN. 2,174 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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