MEDICARE: SHARIF ABDI MOSE

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	343900000X	Non-emergency Medical Transport (VAN)	M200-7818-4001-08	WI

General Provider Information

NPI Number	:	1518800846
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARIF ABDI MOSE

Provider Business Mailing Address
First Line	:	1136 MORRAINE VIEW DR UNIT 102
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53719-3058
Country	:	US
Telephone Number	:	920-530-5314
Fax Number	:

Provider Business Practice Location Address
First Line	:	1136 MORRAINE VIEW DR UNIT 102
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53719-3058
Country	:	US
Telephone Number	:	920-530-5314
Fax Number	:

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

Provider Enumeration Date	:	04/11/2026
Last Update Date	:	04/11/2026

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Directions to “ SHARIF ABDI MOSE ” Practice Location

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