MEDICARE: YUSUF OSMAN ABDI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1376438028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YUSUF OSMAN ABDI

Provider Business Mailing Address
First Line	:	15430 FOUNDERS LN APT 106
Second Line	:
City	:	APPLE VALLEY
State	:	MN
Zip	:	55124-6174
Country	:	US
Telephone Number	:	612-814-1844
Fax Number	:

Provider Business Practice Location Address
First Line	:	15430 FOUNDERS LN APT 106
Second Line	:
City	:	APPLE VALLEY
State	:	MN
Zip	:	55124-6174
Country	:	US
Telephone Number	:	612-814-1844
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2025
Last Update Date	:	06/12/2025

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