Provider Demographics
NPI:1295603959
Name:JAMA, AHMED RASHID SR
Entity type:Individual
Prefix:
First Name:AHMED
Middle Name:RASHID
Last Name:JAMA
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3403 22ND ST S APT 307
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56301-5078
Mailing Address - Country:US
Mailing Address - Phone:701-730-8467
Mailing Address - Fax:
Practice Address - Street 1:3403 22ND ST S APT 307
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56301-5078
Practice Address - Country:US
Practice Address - Phone:701-730-8467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-24
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty