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NPI Code Detail

MEDICARE: ABDI H ALI

MEDICARE: ABDI H ALI
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
1227800000XCertified Respiratory Therapist

General Provider Information

NPI Number : 1104313535
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABDI H ALI
Provider Business Mailing Address
First Line : 2614 NICOLLET AVE STE 203
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55408-1628
Country : US
Telephone Number : 612-315-4497
Fax Number : 612-435-1232
Provider Business Practice Location Address
First Line : 2614 NICOLLET AVE STE 203
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55408-1628
Country : US
Telephone Number : 612-315-4497
Fax Number : 612-435-1232
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2018
Last Update Date : 04/20/2018

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Directions to “ ABDI H ALI ” Practice Location

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