Provider Demographics
NPI:1255825246
Name:AHMED, ILHAN ABDULAHI
Entity type:Individual
Prefix:
First Name:ILHAN
Middle Name:ABDULAHI
Last Name:AHMED
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 1:8030 OLD CEDAR AVE S STE 110
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55425-1214
Mailing Address - Country:US
Mailing Address - Phone:612-200-7058
Mailing Address - Fax:952-426-4935
Practice Address - Street 1:8030 OLD CEDAR AVE S STE 110
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55425-1214
Practice Address - Country:US
Practice Address - Phone:612-200-7058
Practice Address - Fax:952-426-4935
Is Sole Proprietor?:No
Enumeration Date:2018-06-21
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health