Provider Demographics
NPI:1982444923
Name:AHMED, HANI ALI
Entity type:Individual
Prefix:
First Name:HANI
Middle Name:ALI
Last Name:AHMED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1041 HAZELWOOD ST
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55106-3678
Mailing Address - Country:US
Mailing Address - Phone:612-669-7677
Mailing Address - Fax:
Practice Address - Street 1:1041 HAZELWOOD ST
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55106-3678
Practice Address - Country:US
Practice Address - Phone:612-669-7677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-28
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker