Provider Demographics
NPI:1154155380
Name:ABDULAHI, ZAKARIYA BAHAR
Entity type:Individual
Prefix:
First Name:ZAKARIYA
Middle Name:BAHAR
Last Name:ABDULAHI
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 1:2233 UNIVERSITY AVE W
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55114-1600
Mailing Address - Country:US
Mailing Address - Phone:651-502-2945
Mailing Address - Fax:
Practice Address - Street 1:2233 UNIVERSITY AVE W
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55114-1600
Practice Address - Country:US
Practice Address - Phone:651-502-2945
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-29
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent