Individual
MOHAMED A AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1821 UNIVERSITY AVE W STE 227, SAINT PAUL, MN 55104-2895
(612) 298-7897
Mailing address
1821 UNIVERSITY AVE W STE 227, SAINT PAUL, MN 55104-2895
(612) 298-7897
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6970345
—
MN
05
—
85-2775889
—
MN
Enumeration date
09/19/2020
Last updated
10/19/2020
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