Abdinasir K Ahmednoor
Individual provider Active NPI Community/Behavioral Health Agency · Eagan, MN
NPI 1801665104 · NPPES record last updated Dec 28, 2023
Key facts
- NPI
- 1801665104
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Practice address
- 3906 Valley View Dr S Apt 302
Eagan, MN 55122-1562 - Phone
- (612) 987-6223
- NPI assigned
- Dec 28, 2023
- 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 |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
3906 Valley View Dr S Apt 302
Eagan, MN 55122-1562
Mailing address
3906 Valley View Dr S Apt 302
Eagan, MN 55122-1562
Phone (612) 987-6223
Other providers in Eagan, MN
- Nasteho Salah Ahmed
- Rahma Abdirahman Ahmed
- Salma M Ahmed
- Umelkayr Mohamed Ahmed
- Zamzam Ahmed
- M.Bashar Ahmedo
- Rachel Ahn
- Simone K. Ahuja
- Laura Carlson Akers
- Beth Michelle Al Qudah
All providers in Eagan, MN · Community/Behavioral Health Agency 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 28, 2023. 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.