Abdiasis Abdilahi, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Minneapolis, MN
NPI 1881440907 · NPPES record last updated Apr 29, 2024
Key facts
- NPI
- 1881440907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 420 Delaware St SE # Mmc396
Minneapolis, MN 55455-0341 - Phone
- (612) 625-7692
- NPI assigned
- Apr 29, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240626002246 | MN | Order and Referring Only - Otolaryngology |
7618411091 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MN | Yes |
Addresses
Primary practice location
420 Delaware St SE # Mmc396
Minneapolis, MN 55455-0341
Mailing address
420 Delaware St SE # Mmc396
Minneapolis, MN 55455-0341
Phone (612) 625-7692
Other providers in Minneapolis, MN
- Maryan Abdinur Abdikadir
- Mohamed Said Abdikadir
- Sumaya Abdikadir
- Anhaar Nur Abdikarim
- Khadra Abdikarim
- Ahmed Mohamed Abdilahi
- Amal Abdi Abdilahi
- Ayub Mohamed Abdilahi
- Kawsar Abdilahi
- Khadra Mohamed Abdilahi
All providers in Minneapolis, MN · Student in an Organized Health Care Education/Training Program in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.