Sahaam Ahmed Abdi
Individual provider Active NPI Speech-Language Pathologist · Coon Rapids, MN
NPI 1003459868 · NPPES record last updated Oct 24, 2019
Key facts
- NPI
- 1003459868
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 10210 (MN)
- Practice address
- 9120 Springbrook Dr NW
Coon Rapids, MN 55433-5845 - Phone
- (612) 400-6171
- NPI assigned
- Oct 24, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10210 | MN | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 10210 | MN | Yes |
Addresses
Primary practice location
9120 Springbrook Dr NW
Coon Rapids, MN 55433-5845
Mailing address
9120 Springbrook Dr NW
Coon Rapids, MN 55433-5845
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- Syed Kashan Ali Haider Abidi
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All providers in Coon Rapids, MN · Speech-Language Pathologist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.