Individual
ABDISAMAD IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 581-5400
Mailing address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 581-5400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
68572
MN
207R00000X
Internal Medicine Physician
75501
CT
207RI0011X
Interventional Cardiology Physician
Primary
68572
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/13/2017
Last updated
05/23/2025
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