Provider Demographics
NPI:1972578334
Name:AHMED, ABDULLAHI I (MD)
Entity type:Individual
Prefix:DR
First Name:ABDULLAHI
Middle Name:I
Last Name:AHMED
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:14101 FAIRVIEW DRIVE
Mailing Address - Street 2:SUITE NUMBER 300
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-5714
Mailing Address - Country:US
Mailing Address - Phone:952-892-2461
Mailing Address - Fax:952-892-2268
Practice Address - Street 1:14101 FAIRVIEW DR
Practice Address - Street 2:SUITE NUMBER 300
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-4590
Practice Address - Country:US
Practice Address - Phone:952-892-2461
Practice Address - Fax:952-892-2268
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2016-09-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN43840207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNG79328Medicare UPIN