Provider Demographics
NPI:1003684887
Name:AHMED, ZEINAB ABDULLAHI
Entity Type:Individual
Prefix:
First Name:ZEINAB
Middle Name:ABDULLAHI
Last Name:AHMED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1973 SLOAN PL STE 100
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:MN
Mailing Address - Zip Code:55117-2085
Mailing Address - Country:US
Mailing Address - Phone:651-797-4821
Mailing Address - Fax:
Practice Address - Street 1:1973 SLOAN PL STE 100
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:MN
Practice Address - Zip Code:55117-2085
Practice Address - Country:US
Practice Address - Phone:651-797-4821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-12
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician