Provider Demographics
NPI:1528859832
Name:ABDI, MAHAMED
Entity type:Individual
Prefix:
First Name:MAHAMED
Middle Name:
Last Name:ABDI
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 1:750 2ND ST NE STE 216
Mailing Address - Street 2:
Mailing Address - City:HOPKINS
Mailing Address - State:MN
Mailing Address - Zip Code:55343-8124
Mailing Address - Country:US
Mailing Address - Phone:763-516-6460
Mailing Address - Fax:
Practice Address - Street 1:750 2ND ST NE STE 216
Practice Address - Street 2:
Practice Address - City:HOPKINS
Practice Address - State:MN
Practice Address - Zip Code:55343-8124
Practice Address - Country:US
Practice Address - Phone:763-516-6460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center