Provider Demographics
NPI:1891416442
Name:HUSSEIN, AHMED
Entity type:Individual
Prefix:
First Name:AHMED
Middle Name:
Last Name:HUSSEIN
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 1:2242 7TH ST W APT 305
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55116-3312
Mailing Address - Country:US
Mailing Address - Phone:612-712-0888
Mailing Address - Fax:
Practice Address - Street 1:2242 7TH ST W APT 305
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55116-3312
Practice Address - Country:US
Practice Address - Phone:612-712-0888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN88-2126229OtherARLADI TRANSPORTATION LLC