Individual
ABDIFATAH ABDULLAHI AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1695 LOR RAY DR, NORTH MANKATO, MN 56003-2804
(507) 625-4031
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(507) 263-4221
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
74086
MN
Other
Enumeration date
04/23/2021
Last updated
11/06/2025
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