Provider Demographics
NPI:1578263489
Name:MOHAMED, MUNA ABDI
Entity Type:Individual
Prefix:
First Name:MUNA
Middle Name:ABDI
Last Name:MOHAMED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 20TH ST SE APT 204
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55904-6273
Mailing Address - Country:US
Mailing Address - Phone:507-202-9486
Mailing Address - Fax:
Practice Address - Street 1:1225 20TH ST SE APT 204
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55904-6273
Practice Address - Country:US
Practice Address - Phone:507-202-9486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-08
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst