Provider Demographics
NPI:1447047386
Name:DAHIR, FARAH MOHAMED
Entity type:Individual
Prefix:
First Name:FARAH
Middle Name:MOHAMED
Last Name:DAHIR
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 1:1004 4TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:EAST GRAND FORKS
Mailing Address - State:MN
Mailing Address - Zip Code:56721-1528
Mailing Address - Country:US
Mailing Address - Phone:218-793-1919
Mailing Address - Fax:
Practice Address - Street 1:1004 4TH AVE NW
Practice Address - Street 2:
Practice Address - City:EAST GRAND FORKS
Practice Address - State:MN
Practice Address - Zip Code:56721-1528
Practice Address - Country:US
Practice Address - Phone:218-793-1919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-23
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker