Shihab Kamal Adam
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Minneapolis, MN
NPI 1245023027 · NPPES record last updated Apr 8, 2026
Key facts
- NPI
- 1245023027
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 2211 Riverside Ave
Minneapolis, MN 55454-7505 - Phone
- (715) 531-5493
- NPI assigned
- May 26, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
2211 Riverside Ave
Minneapolis, MN 55454-7505
Mailing address
2211 Riverside Ave
Minneapolis, MN 55454-7505
Phone (715) 531-5493
Other providers in Minneapolis, MN
- Mary Elizabeth Adam
- Mohamed Adam
- Mushtaq Adam
- Patricia Adam
- Samira Mohamed Adam
- Rebecca Adamek Peckels
- Stephanie Adamek
- Daniel James Adamietz
- Nathan Michael Adamietz
- Martii Marcos Adamo
All providers in Minneapolis, MN · Student in an Organized Health Care Education/Training Program in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2026. 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.