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NPI Code Detail

MEDICARE: AMIN MOHAMED ABDULAHI

MEDICARE:   AMIN MOHAMED ABDULAHI
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
1320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number : 1649068347
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMIN MOHAMED ABDULAHI
Provider Business Mailing Address
First Line : 1503 N 48TH ST
Second Line :
City : OMAHA
State : NE
Zip : 68104-5152
Country : US
Telephone Number : 402-690-4446
Fax Number :
Provider Business Practice Location Address
First Line : 1818 N 73RD ST
Second Line :
City : OMAHA
State : NE
Zip : 68114-1800
Country : US
Telephone Number : 402-690-4446
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2025
Last Update Date : 04/30/2025

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Directions to “ AMIN MOHAMED ABDULAHI ” Practice Location

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