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NPI Code Detail

MEDICARE: YUSRA ABDULQAADIR

MEDICARE: YUSRA ABDULQAADIR
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
1106S00000XBehavior TechnicianMN

General Provider Information

NPI Number : 1417800525
Entity Type Code : Individual
Provider Name (Legal Business Name) : YUSRA ABDULQAADIR
Provider Business Mailing Address
First Line : 2614 NICOLLET AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55408-1628
Country : US
Telephone Number : 612-213-6729
Fax Number :
Provider Business Practice Location Address
First Line : 2614 NICOLLET AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55408-1628
Country : US
Telephone Number : 612-213-6729
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2026
Last Update Date : 02/18/2026

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Directions to “ YUSRA ABDULQAADIR ” Practice Location

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