Provider Demographics
NPI:1225865868
Name:QAZAALI IMPACT LLC
Entity type:Organization
Organization Name:QAZAALI IMPACT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABDIRAHMAN
Authorized Official - Middle Name:SHEIKH
Authorized Official - Last Name:OMAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-994-6151
Mailing Address - Street 1:912 E 24TH ST STE 154
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-3869
Mailing Address - Country:US
Mailing Address - Phone:952-994-6151
Mailing Address - Fax:612-278-2110
Practice Address - Street 1:912 E 24TH ST STE 154
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-3869
Practice Address - Country:US
Practice Address - Phone:952-994-6151
Practice Address - Fax:612-278-2110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-17
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty