Provider Demographics
NPI:1376312488
Name:DUA HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:DUA HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:UMULKHAYR
Authorized Official - Middle Name:OSMAN
Authorized Official - Last Name:SHEIKH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-652-7553
Mailing Address - Street 1:322 W LAKE ST STE 214
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-5202
Mailing Address - Country:US
Mailing Address - Phone:952-652-7553
Mailing Address - Fax:
Practice Address - Street 1:322 W LAKE ST STE 214
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55408-5202
Practice Address - Country:US
Practice Address - Phone:952-652-7553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-29
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health