Provider Demographics
NPI:1982049169
Name:OSMAN, ABDURAHMAN ADEN
Entity Type:Individual
Prefix:
First Name:ABDURAHMAN
Middle Name:ADEN
Last Name:OSMAN
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 1:2910 PILLSBURY AVE S
Mailing Address - Street 2:212A
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-2297
Mailing Address - Country:US
Mailing Address - Phone:612-353-9699
Mailing Address - Fax:612-844-1210
Practice Address - Street 1:2910 PILLSBURY AVE S
Practice Address - Street 2:212A
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55408-2297
Practice Address - Country:US
Practice Address - Phone:612-353-9699
Practice Address - Fax:612-844-1210
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-01
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies