Individual
TARIKH ABDULKADIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5301 HYLAND GREENS DR APT 716, BLOOMINGTON, MN 55437-3912
(612) 735-8413
(952) 378-1700
Mailing address
5301 HYLAND GREENS DR #716, BLOOMINGTON, MN 55437
(612) 735-8413
(952) 378-1700
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
D484000373016
MN
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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