IndividualActive
Mazen Kherallah, MD
NPI 1922025691 · Critical Care Medicine (Internal Medicine) Physician · Fargo, ND
Provider details
- NPI number
- 1922025691
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 9502 (ND)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
801 Broadway N
Fargo, ND 58102-3641
Phone: (701) 234-7200
Fax: (701) 234-7225
Approximate (ZIP-level) locationGet directions
Mailing address
801 Broadway N
Fargo, ND 58102-3641
Registry dates
- Enumerated
- 2006-07-17
- Last updated
- 2021-02-14
- Certified
- 2021-02-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.