Provider Demographics
NPI:1013712298
Name:SHURIE, ABDIRAHIM
Entity type:Individual
Prefix:
First Name:ABDIRAHIM
Middle Name:
Last Name:SHURIE
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 1:201 MCANDREWS RD W
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-5782
Mailing Address - Country:US
Mailing Address - Phone:612-427-5204
Mailing Address - Fax:
Practice Address - Street 1:201 MCANDREWS RD W
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-5782
Practice Address - Country:US
Practice Address - Phone:612-427-5204
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health