Mohamed Abuelhassasn
Individual provider Active NPI Driver · Apple Valley, MN
NPI 1104244672 · NPPES record last updated Apr 2, 2014
Key facts
- NPI
- 1104244672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 14973 Ember CT
Apple Valley, MN 55124 - Phone
- (612) 232-1280
- NPI assigned
- Apr 2, 2014
- Sex
- Male
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | MN | Yes |
Addresses
Primary practice location
14973 Ember CT
Apple Valley, MN 55124
Mailing address
14973 Ember CT
Apple Valley, MN 55124
Phone (612) 232-1280
Other providers in Apple Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2014. 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.