Provider Demographics
NPI:1083438857
Name:OSMAN, ABDULLAHI KULMIYE
Entity type:Individual
Prefix:
First Name:ABDULLAHI
Middle Name:KULMIYE
Last Name:OSMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6714 16TH AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55423-2726
Mailing Address - Country:US
Mailing Address - Phone:701-561-2723
Mailing Address - Fax:
Practice Address - Street 1:6714 16TH AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55423-2726
Practice Address - Country:US
Practice Address - Phone:701-561-2723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-08
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst