Provider Demographics
NPI:1629807896
Name:ABDULLE, ZAHRA OSMAN
Entity type:Individual
Prefix:
First Name:ZAHRA
Middle Name:OSMAN
Last Name:ABDULLE
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 1:11142 XAVIER RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55437-3110
Mailing Address - Country:US
Mailing Address - Phone:612-323-1214
Mailing Address - Fax:
Practice Address - Street 1:11142 XAVIER RD
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55437-3110
Practice Address - Country:US
Practice Address - Phone:612-323-1214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management