Dahir Sharif Abdiwahab
Individual provider Active NPI Health Service Clinic/Center · Fridley, MN
NPI 1295448694 · NPPES record last updated Dec 30, 2022
Key facts
- NPI
- 1295448694
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health Service Clinic/Center 261QH0100X
- Practice address
- 6260 Highway 65 NE Ste 303
Fridley, MN 55432-5150 - Phone
- (651) 734-3031
- NPI assigned
- Dec 30, 2022
- 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 |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Yes |
Addresses
Primary practice location
6260 Highway 65 NE Ste 303
Fridley, MN 55432-5150
Mailing address
778 Berry St Apt 220
Saint Paul, MN 55114-0013
Phone (651) 734-3031
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | a | Direct |
Other providers in Fridley, MN
- Samiro Salah Abdi
- Sumeiya Shueb Abdi
- Mohamed Mohamud Abdilahi
- Sharmarke M Abdilahi
- Bahsan Abdubakar Abdille
- Suhaib Abdulahi
- Sameh Ibrahim Abdulkader
- Ayan Jama Abdulkadir
- Maymuna Omar Abdulkadir
- Ruwayda Adam Abdulkadir
All providers in Fridley, MN · Health Service Clinic/Center in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 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.