Healthcare Provider Details

I. General information

NPI: 1831007178
Provider Name (Legal Business Name): NAJAD AHMED MOHAMED
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4846 PARK GLEN RD
ST LOUIS PARK MN
55416-5702
US

IV. Provider business mailing address

1036 95TH LN NW
COON RAPIDS MN
55433-5618
US

V. Phone/Fax

Practice location:
  • Phone: 651-802-2533
  • Fax: 612-288-1002
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: