Provider Demographics
NPI:1467253039
Name:ALI, HAKIMA MOHAMED (CHW)
Entity type:Individual
Prefix:
First Name:HAKIMA
Middle Name:MOHAMED
Last Name:ALI
Suffix:
Gender:
Credentials:CHW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 CAMPUS DR SE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55904-4831
Mailing Address - Country:US
Mailing Address - Phone:507-273-5331
Mailing Address - Fax:
Practice Address - Street 1:2100 CAMPUS DR SE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55904-4831
Practice Address - Country:US
Practice Address - Phone:507-273-5331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker