Provider Demographics
NPI:1073213740
Name:AHMED, RAHO (RN)
Entity Type:Individual
Prefix:
First Name:RAHO
Middle Name:
Last Name:AHMED
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2919 COLFAX AVE S APT 207
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-2174
Mailing Address - Country:US
Mailing Address - Phone:507-990-8151
Mailing Address - Fax:
Practice Address - Street 1:2919 COLFAX AVE S APT 207
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55408-2174
Practice Address - Country:US
Practice Address - Phone:507-990-8151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-09
Last Update Date:2023-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health