NPI
Kamrun Jenabzadeh
NPI 1558532606
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- M.D.
- Type
- Individual
- Enumeration date
- 2008-03-17
- Last updated
- 2019-11-18
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Specialties
Licenses
- License MN
- 50521
Location
- Practice location
- 9825 Hospital Dr Ste 105
- City
- Maple Grove MN
- Postal code
- 55369-4769
- Phone
- (763) 780-6699
- Fax
- (763) 420-0500
Medicare
- PECOS
- A PECOS enrollment row matches 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
General Surgeons in Maple Grove, MN. 21 with this primary taxonomy in the public file.
Other NPIs in Maple Grove, MN. 2,058 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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