Shafi Mohamud Mohamed

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

S069127180515 Issued in MN

Practice address

113 11TH Ave N
Waite Park, MN 56387-1026

Phone

(612) 636-9009

NPI assigned

Jan 18, 2017

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1316483019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 11TH AVE N",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871026",
            "telephone_number": "612-636-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 11TH AVE N",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871026",
            "telephone_number": "612-636-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "SHAFI",
        "middle_name": "MOHAMUD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MN",
            "license": "S069127180515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kadija Hassan Mohamed
• Mohamed Abdiaziz Mohamed
• Naimo Mohamed
• Sadik Saliban Mohamed
• Shadiya A Mohamed
• Shuayb Ahmed Mohamed
• Abdikafi Mohamoud
• Abdulahi Mohamud
• Habiba Mohamud
• Kasido M Mohamud

• Non-emergency Medical Transport (VAN) in Waite Park, MN
• Providers in Waite Park, MN by specialty
• Non-emergency Medical Transport (VAN) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.