Provider Demographics
NPI:1326845611
Name:HARUN, ZAHARA AHMED
Entity type:Individual
Prefix:
First Name:ZAHARA
Middle Name:AHMED
Last Name:HARUN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1067 12TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55414-2305
Mailing Address - Country:US
Mailing Address - Phone:612-578-1104
Mailing Address - Fax:612-284-2104
Practice Address - Street 1:1067 12TH AVE SE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55414-2305
Practice Address - Country:US
Practice Address - Phone:612-578-1104
Practice Address - Fax:612-284-2104
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN419674251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health