Provider Demographics
NPI:1417558933
Name:ABDI, AHMED OSMAN (MD)
Entity type:Individual
Prefix:
First Name:AHMED
Middle Name:OSMAN
Last Name:ABDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1113 E FRANKLIN AVE STE 111
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-2978
Mailing Address - Country:US
Mailing Address - Phone:612-433-6177
Mailing Address - Fax:612-924-3333
Practice Address - Street 1:1113 E FRANKLIN AVE STE 111
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-2978
Practice Address - Country:US
Practice Address - Phone:612-433-6177
Practice Address - Fax:612-924-3333
Is Sole Proprietor?:No
Enumeration Date:2020-11-02
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst