Provider Demographics
NPI:1740021070
Name:ABDILLAHI, MUNA AHMED
Entity type:Individual
Prefix:
First Name:MUNA
Middle Name:AHMED
Last Name:ABDILLAHI
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 1:3307 W LEODRA LN
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85041-5246
Mailing Address - Country:US
Mailing Address - Phone:651-443-0323
Mailing Address - Fax:
Practice Address - Street 1:3307 W LEODRA LN
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85041-5246
Practice Address - Country:US
Practice Address - Phone:651-443-0323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-03
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)