Provider Demographics
NPI:1780659540
Name:FARAH, SAEED HUSSEIN
Entity Type:Individual
Prefix:
First Name:SAEED
Middle Name:HUSSEIN
Last Name:FARAH
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 1:2940 PILLSBURY AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-2275
Mailing Address - Country:US
Mailing Address - Phone:612-823-4305
Mailing Address - Fax:612-823-4263
Practice Address - Street 1:2940 PILLSBURY AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55408-2255
Practice Address - Country:US
Practice Address - Phone:612-823-4305
Practice Address - Fax:612-823-4263
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN328162374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide