Iftu Abdulla
Individual provider Active NPI Driver · Spring Lake Park, MN
NPI 1215664461 · NPPES record last updated Aug 6, 2022
Key facts
- NPI
- 1215664461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 1600 81St Ave NE Apt 6
Spring Lake Park, MN 55432-1342 - Phone
- (763) 400-0851
- NPI assigned
- Aug 6, 2022
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | MN | Yes |
Addresses
Primary practice location
1600 81St Ave NE Apt 6
Spring Lake Park, MN 55432-1342
Mailing address
1600 81St Ave NE Apt 6
Spring Lake Park, MN 55432-1342
Phone (763) 400-0851
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3826970 | Other | MN | DOT |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Connecturl |
Other providers in Spring Lake Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2022. 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.