Provider Demographics
NPI:1588392732
Name:HUSSEIN, DEEQA ABDIKARIM (MA)
Entity type:Individual
Prefix:
First Name:DEEQA
Middle Name:ABDIKARIM
Last Name:HUSSEIN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6417 PENN AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55423-1186
Mailing Address - Country:US
Mailing Address - Phone:612-465-9104
Mailing Address - Fax:
Practice Address - Street 1:6417 PENN AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55423-1186
Practice Address - Country:US
Practice Address - Phone:612-465-9104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-14
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator