Provider Demographics
NPI:1447616032
Name:ADANI, SOLAMAN SHIRE SR
Entity Type:Individual
Prefix:MR
First Name:SOLAMAN
Middle Name:SHIRE
Last Name:ADANI
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 1:1801 E LAKE ST
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-1835
Mailing Address - Country:US
Mailing Address - Phone:612-244-9997
Mailing Address - Fax:
Practice Address - Street 1:1801 E LAKE ST
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-1835
Practice Address - Country:US
Practice Address - Phone:612-244-9997
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-12
Last Update Date:2016-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver