Provider Demographics
NPI:1851993802
Name:WELI, ABDULLAHI SHUKRI
Entity Type:Individual
Prefix:
First Name:ABDULLAHI
Middle Name:SHUKRI
Last Name:WELI
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 1:2414 17TH ST S APT 301
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-5296
Mailing Address - Country:US
Mailing Address - Phone:701-639-8279
Mailing Address - Fax:
Practice Address - Street 1:1107 1ST ST E APT 58
Practice Address - Street 2:
Practice Address - City:WEST FARGO
Practice Address - State:ND
Practice Address - Zip Code:58078-3040
Practice Address - Country:US
Practice Address - Phone:701-729-3143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-14
Last Update Date:2020-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant