Provider Demographics
NPI:1982571493
Name:AHMED, UMELKAYR MOHAMED
Entity type:Individual
Prefix:
First Name:UMELKAYR
Middle Name:MOHAMED
Last Name:AHMED
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 1:4805 WATERVIEW TRL
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55123-2184
Mailing Address - Country:US
Mailing Address - Phone:612-850-5728
Mailing Address - Fax:
Practice Address - Street 1:4805 WATERVIEW TRL
Practice Address - Street 2:
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55123-2184
Practice Address - Country:US
Practice Address - Phone:612-850-5728
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-20
Last Update Date:2025-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician