Provider Demographics
NPI:1831968890
Name:ABDULAHI, AHMED M
Entity type:Individual
Prefix:
First Name:AHMED
Middle Name:M
Last Name:ABDULAHI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3040 30TH ST S APT 107
Mailing Address - Street 2:
Mailing Address - City:MOORHEAD
Mailing Address - State:MN
Mailing Address - Zip Code:56560-7194
Mailing Address - Country:US
Mailing Address - Phone:701-818-5636
Mailing Address - Fax:
Practice Address - Street 1:2215 12TH AVE S
Practice Address - Street 2:
Practice Address - City:MOORHEAD
Practice Address - State:MN
Practice Address - Zip Code:56560-3809
Practice Address - Country:US
Practice Address - Phone:701-818-5636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-01
Last Update Date:2024-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)