Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mizan Medical Group PLLC

Organization Internal Medicine Physician · NPI 1902602626

Mizan Medical Group PLLC is an Internal Medicine Physician in Minneapolis, Minnesota. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

200 W Lake St Ste 128
Minneapolis, MN 55408-5303
Phone: (612) 205-1113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1902602626
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sadik Ali — Medical Director · (612) 205-1113
NPI enumeratedFebruary 22, 2025
Last updated in NPPESMarch 27, 2025
Certification dateMarch 27, 2025
Mailing address400 S 4th St Ste 401-1076, Minneapolis, MN 55415-1411

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