Abdifatah Osman Hussein

Primary specialty

DriverTaxonomy code 172A00000X

License

D000-121-407-200 Issued in MN

Practice address

1701 American Blvd E Ste 16
Bloomington, MN 55425-1401

Phone

(612) 605-1621

Fax

(612) 605-1631

NPI assigned

Feb 27, 2024

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": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1740046671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 AMERICAN BLVD E STE 16",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251401",
            "telephone_number": "612-605-1621",
            "fax_number": "612-605-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 AMERICAN BLVD E STE 16",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251401",
            "telephone_number": "612-605-1621",
            "fax_number": "612-605-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSEIN",
        "first_name": "ABDIFATAH",
        "middle_name": "OSMAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "MN",
            "license": "D000-121-407-200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ty Kim Hunt
• Michael Hunter, LPN
• Robert Will Huot, DDS
• Jeffrey B Husband, M.D.
• Hamza Hussein Bedane
• Abdirahman Bashir Hussein
• Abdirisak Hussein
• Ayan Mohamed Hussein
• Chaltu Siraj Hussein
• Fartun Hussein

• Driver in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Driver in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.