Individual
MOHAMED MOHAMOUD MOHAMEDABDH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
912 E 24TH ST, STE B215, MINNEAPOLIS, MN 55404-3869
(507) 573-1608
Mailing address
PO BOX 28561, SAINT PAUL, MN 55128-0561
(507) 573-1608
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
1566943
MN
343900000X
Non-emergency Medical Transport (VAN)
Primary
300595677
MN
Other
Enumeration date
11/17/2015
Last updated
11/18/2015
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