Healthcare Provider Details

I. General information

NPI: 1417865890
Provider Name (Legal Business Name): ABDUL RAHMAN DAUDA
Entity Type: Individual
Gender: Male
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

121 E ARIKARA AVE APT 307
BISMARCK ND
58501-2639
US

IV. Provider business mailing address

121 E ARIKARA AVE APT 307
BISMARCK ND
58501-2639
US

V. Phone/Fax

Practice location:
  • Phone: 701-934-4903
  • Fax:
Mailing address:
  • Phone: 701-934-4903
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateND
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number1498249
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: