Provider Demographics
NPI:1376117846
Name:MOHAMUD, GULED M
Entity Type:Individual
Prefix:
First Name:GULED
Middle Name:M
Last Name:MOHAMUD
Suffix:
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 1:7744 ELM GROVE CT
Mailing Address - Street 2:
Mailing Address - City:NEW HOPE
Mailing Address - State:MN
Mailing Address - Zip Code:55428-3873
Mailing Address - Country:US
Mailing Address - Phone:952-393-2999
Mailing Address - Fax:
Practice Address - Street 1:6434 CITY WEST PKWY APT 6203
Practice Address - Street 2:
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55344-3293
Practice Address - Country:US
Practice Address - Phone:952-393-2999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-18
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care