Provider Demographics
NPI:1134095755
Name:DAHIR, HODO M
Entity type:Individual
Prefix:
First Name:HODO
Middle Name:M
Last Name:DAHIR
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 1:15389 104TH PL N
Mailing Address - Street 2:
Mailing Address - City:MAPLE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55369-7405
Mailing Address - Country:US
Mailing Address - Phone:612-407-7348
Mailing Address - Fax:651-287-9835
Practice Address - Street 1:941 HILLWIND RD NE STE 205
Practice Address - Street 2:
Practice Address - City:FRIDLEY
Practice Address - State:MN
Practice Address - Zip Code:55432-5962
Practice Address - Country:US
Practice Address - Phone:651-468-8675
Practice Address - Fax:651-287-9835
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-13
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health