Issack Ahmed Hashi
Individual provider Active NPI Driver · Eagan, MN
NPI 1972326437 · NPPES record last updated Nov 4, 2024
Key facts
- NPI
- 1972326437
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- M363116560212 (MN)
- Practice address
- 4088 Oakbrooke Alcove
Eagan, MN 55122-5503 - Phone
- (612) 735-6445
- NPI assigned
- Nov 4, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M363116560212 | MN | MD | Driver |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | M363116560212 | MN | Yes |
Addresses
Primary practice location
4088 Oakbrooke Alcove
Eagan, MN 55122-5503
Mailing address
4088 Oakbrooke Alcove
Eagan, MN 55122-5503
Phone (612) 735-6445
Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2024. 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.