Provider Demographics
NPI:1851823942
Name:MOHAMUD, SAFIA ABDULKADIR (LINGUALINE)
Entity type:Individual
Prefix:
First Name:SAFIA
Middle Name:ABDULKADIR
Last Name:MOHAMUD
Suffix:
Gender:F
Credentials:LINGUALINE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2740 MINNEAHA AVE SUIT 100
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404
Mailing Address - Country:US
Mailing Address - Phone:612-707-7671
Mailing Address - Fax:612-249-9005
Practice Address - Street 1:2740 MINNEHAHA AVE SUIT 100
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55406
Practice Address - Country:US
Practice Address - Phone:612-707-7671
Practice Address - Fax:612-249-9005
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-29
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN17171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor