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

Dr. Mohamad Ibrahim Itani, MD

Individual provider Gastroenterology Physician · NPI 1023698131

Dr. Mohamad Ibrahim Itani, MD is an Internal Medicine in Minneapolis, Minnesota. Qualified in 2019, 7 years ago. Licensed in Minnesota.

Years since qualifying
7
Licensed in
MN
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

420 Delaware St SE
Minneapolis, MN 55455-0341
Phone: (651) 491-4295
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 79942 (MN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 79942 (MN)

Record details

NPI number1023698131
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 12, 2021
Last updated in NPPESJuly 5, 2025
Certification dateJuly 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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