Habon Ahmed
Individual provider Active NPI Driver · Saint Anthony, MN
NPI 1457001034 · NPPES record last updated Mar 25, 2022
Key facts
- NPI
- 1457001034
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 2817 Anthony LN S Ste 106
Saint Anthony, MN 55418-2489 - Phone
- (651) 434-7733
- NPI assigned
- Mar 25, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Driver |
172A00000X | MN | Yes |
Addresses
Primary practice location
2817 Anthony LN S Ste 106
Saint Anthony, MN 55418-2489
Mailing address
2817 Anthony LN S Ste 106
Saint Anthony, MN 55418-2489
Other providers in Saint Anthony, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 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.