Provider Demographics
NPI:1730732546
Name:JAMA, AHMED MOHAMED SR
Entity type:Individual
Prefix:MR
First Name:AHMED
Middle Name:MOHAMED
Last Name:JAMA
Suffix:SR
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 1:5245 EDINA INDUSTRIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55439-2910
Mailing Address - Country:US
Mailing Address - Phone:952-232-6900
Mailing Address - Fax:952-960-0137
Practice Address - Street 1:5245 EDINA INDUSTRIAL BLVD
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55439-2910
Practice Address - Country:US
Practice Address - Phone:952-232-6900
Practice Address - Fax:952-960-0137
Is Sole Proprietor?:No
Enumeration Date:2019-07-20
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician