Provider Demographics
NPI:1518727551
Name:ABDI, ABDIRHMAN SAID
Entity Type:Individual
Prefix:
First Name:ABDIRHMAN
Middle Name:SAID
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 1:2569 GEORGETOWNE PL NW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-7028
Mailing Address - Country:US
Mailing Address - Phone:507-202-5052
Mailing Address - Fax:
Practice Address - Street 1:2720 SUPERIOR DR NW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-1774
Practice Address - Country:US
Practice Address - Phone:612-326-6160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health