Provider Demographics
NPI:1891476438
Name:ABDIKADIR, HANI YAHYE
Entity Type:Individual
Prefix:
First Name:HANI
Middle Name:YAHYE
Last Name:ABDIKADIR
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 1:869 FULLER AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-4742
Mailing Address - Country:US
Mailing Address - Phone:612-214-8525
Mailing Address - Fax:
Practice Address - Street 1:869 FULLER AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-4742
Practice Address - Country:US
Practice Address - Phone:612-214-8525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator