Provider Demographics
NPI:1437640828
Name:ABDI, ABDULLAHI MOHAMED
Entity Type:Individual
Prefix:
First Name:ABDULLAHI
Middle Name:MOHAMED
Last Name:ABDI
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 1:8200 HUMBOLDT AVE S STE 217
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55431-1432
Mailing Address - Country:US
Mailing Address - Phone:952-888-7055
Mailing Address - Fax:612-605-3312
Practice Address - Street 1:8200 HUMBOLDT AVE S STE 217
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55431-1432
Practice Address - Country:US
Practice Address - Phone:952-888-7055
Practice Address - Fax:612-605-3312
Is Sole Proprietor?:No
Enumeration Date:2018-05-22
Last Update Date:2018-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health