Individual
FADUMO ABDDULLAHI BASHIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2211 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1350
(612) 545-7622
Mailing address
2211 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1350
(612) 545-7622
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15647
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/16/2023
Last updated
04/06/2026
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