Farah Mazin Ahmad Almudallal

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Sioux Falls, SD

NPI 1104745165 · NPPES record last updated Jul 14, 2026

Key facts

NPI
1104745165
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1600 W 22ND St
Sioux Falls, SD 57105-1521
Phone
(605) 312-1000
NPI assigned
Jul 14, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

1600 W 22ND St
Sioux Falls, SD 57105-1521

Mailing address

205 E 12TH St Apt 639
Sioux Falls, SD 57104-6950
Phone (605) 910-3705

Other providers in Sioux Falls, SD

All providers in Sioux Falls, SD · Student in an Organized Health Care Education/Training Program in South Dakota

Sources for this page

Verify at the official NPI Registry.