Provider Demographics
NPI:1205620242
Name:MOHAMED, ZAKIRIYA HUSSAIN
Entity type:Individual
Prefix:
First Name:ZAKIRIYA
Middle Name:HUSSAIN
Last Name:MOHAMED
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1045 HIAWATHA AVE APT 312
Mailing Address - Street 2:
Mailing Address - City:HOPKINS
Mailing Address - State:MN
Mailing Address - Zip Code:55343-8142
Mailing Address - Country:US
Mailing Address - Phone:612-358-9805
Mailing Address - Fax:
Practice Address - Street 1:1045 HIAWATHA AVE APT 312
Practice Address - Street 2:
Practice Address - City:HOPKINS
Practice Address - State:MN
Practice Address - Zip Code:55343-8142
Practice Address - Country:US
Practice Address - Phone:612-358-9805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter