Provider Demographics
NPI:1629473640
Name:HAJI, AHMED
Entity Type:Individual
Prefix:MR
First Name:AHMED
Middle Name:
Last Name:HAJI
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 1:2327 E FRANKLIN AVE STE 1F
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55406-4420
Mailing Address - Country:US
Mailing Address - Phone:612-298-0224
Mailing Address - Fax:612-522-9397
Practice Address - Street 1:2327 E FRANKLIN AVE STE 1F
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55406-4420
Practice Address - Country:US
Practice Address - Phone:612-298-0224
Practice Address - Fax:612-522-9397
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-03
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN384814343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)