Basic Information
| Provider Information | |||||||||
| NPI: | 1235200320 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SAHIN | ||||||||
| FirstName: | MUSTAFA | ||||||||
| MiddleName: | B | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 860013 | ||||||||
| Address2: | |||||||||
| City: | MINNEAPOLIS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554860013 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6057191000 | ||||||||
| FaxNumber: | 6057557884 | ||||||||
| Practice Location | |||||||||
| Address1: | 712 S CASCADE ST | ||||||||
| Address2: | |||||||||
| City: | FERGUS FALLS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 565372913 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2187368000 | ||||||||
| FaxNumber: | 2187368719 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/13/2006 | ||||||||
| LastUpdateDate: | 10/23/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RH0000X | 42565 | MN | N | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology | 207RX0202X | 42565 | MN | N | Allopathic & Osteopathic Physicians | Internal Medicine | Medical Oncology | 207RH0000X | 9156 | SD | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology |
ID Information
| ID | Type | State | Issuer | Description | 36-00521 | 01 | MEDICA CHOICE | OTHER | HP42605 | 01 | HEALTH PARTNERS | OTHER | 140155600 | 05 | MN | MEDICAID | 10387 | 05 | ND | MEDICAID | 131480 | 01 | UCARE | OTHER | 36-00013 | 01 | MEDICA PRIMARY | OTHER | 1041349 | 01 | PREFERRED ONE | OTHER | 2154149 | 01 | ARAZ | OTHER | 7777470 | 05 | SD | MEDICAID |