Provider Demographics
NPI:1245021773
Name:HASHI, KHADRA OSMAN
Entity type:Individual
Prefix:
First Name:KHADRA
Middle Name:OSMAN
Last Name:HASHI
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 1:2626 E 82ND ST STE 305
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55425-1683
Mailing Address - Country:US
Mailing Address - Phone:612-601-7833
Mailing Address - Fax:612-230-1811
Practice Address - Street 1:2626 E 82ND ST STE 305
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55425-1683
Practice Address - Country:US
Practice Address - Phone:612-601-7833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1101495374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty