Provider Demographics
NPI:1013738137
Name:ABDILAHI, EKRAAM BEDEE
Entity type:Individual
Prefix:
First Name:EKRAAM
Middle Name:BEDEE
Last Name:ABDILAHI
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 1:720 WENTWORTH AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55075-1717
Mailing Address - Country:US
Mailing Address - Phone:651-353-5211
Mailing Address - Fax:
Practice Address - Street 1:720 WENTWORTH AVE
Practice Address - Street 2:
Practice Address - City:SOUTH SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55075-1717
Practice Address - Country:US
Practice Address - Phone:651-353-5211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified