Organization
SHIFA METRO CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDIRIZAK NUNO MD (OWNER/PROVIDER)
(952) 395-2222
Entity
Organization
Contact information
Practice address
5270 W 84TH ST STE 370, BLOOMINGTON, MN 55437-1377
(952) 395-5222
(952) 395-5333
Mailing address
5270 W. 84TH STREET, SUITE 370, BLOOMINGTON, MN 55437-1377
(952) 395-5222
(952) 395-5333
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61163
LICENSE
MN
Enumeration date
03/29/2021
Last updated
07/07/2021
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