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

Individual provider Critical Care Medicine (Internal Medicine) Physician · NPI 1922025691

Mazen Kherallah, MD is a Critical Care (Intensivists) in Fargo, North Dakota. Qualified in 1987, 39 years ago. Practices with Sanford Medical Center Fargo, a 1,212-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Dakota.

Years since qualifying
39
Licensed in
ND
In the registry since
2006
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

801 Broadway N
Fargo, ND 58102-3641
Phone: (701) 234-7200
Fax: (701) 234-7225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence 9502 (ND)

Record details

NPI number1922025691
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESFebruary 14, 2021
Certification dateFebruary 14, 2021
Mailing address801 Broadway N, Fargo, ND 58102-3641

Medicare enrollment

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

Medicare specialtyCRITICAL CARE (INTENSIVISTS)
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Sanford Medical Center Fargo — 1212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations9 on file with Medicare

Other providers in Fargo