Provider Demographics
NPI:1942945514
Name:TWINS MEDICAL GROUP
Entity Type:Organization
Organization Name:TWINS MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GULED
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHAMOUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-636-7337
Mailing Address - Street 1:110 W 26TH ST
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-4216
Mailing Address - Country:US
Mailing Address - Phone:612-636-7337
Mailing Address - Fax:
Practice Address - Street 1:175 SW 7TH ST STE 1516
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-2955
Practice Address - Country:US
Practice Address - Phone:612-636-7337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-28
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty