Basic Information
Provider Information
NPI: 1972578334
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AHMED
FirstName: ABDULLAHI
MiddleName: I
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 14101 FAIRVIEW DRIVE
Address2: SUITE NUMBER 300
City: BURNSVILLE
State: MN
PostalCode: 553375714
CountryCode: US
TelephoneNumber: 9528922461
FaxNumber: 9528922268
Practice Location
Address1: 14101 FAIRVIEW DR
Address2: SUITE NUMBER 300
City: BURNSVILLE
State: MN
PostalCode: 553374590
CountryCode: US
TelephoneNumber: 9528922461
FaxNumber: 9528922268
Other Information
ProviderEnumerationDate: 02/21/2006
LastUpdateDate: 09/08/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RS0012X43840MNY Allopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine

No ID Information.


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