Provider Demographics
NPI:1215641949
Name:JAMA, ABDULLAHI BASHIR
Entity type:Individual
Prefix:
First Name:ABDULLAHI
Middle Name:BASHIR
Last Name:JAMA
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 1:3851 KEYES ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55421-5033
Mailing Address - Country:US
Mailing Address - Phone:612-457-9303
Mailing Address - Fax:612-520-5585
Practice Address - Street 1:3851 KEYES ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55421-5033
Practice Address - Country:US
Practice Address - Phone:612-457-9303
Practice Address - Fax:612-520-5585
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health