MEDICARE: NAWAL MUHUMED

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
1	343900000X	Non-emergency Medical Transport (VAN)		MN

General Provider Information

NPI Number	:	1427717784
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAWAL MUHUMED

Provider Business Mailing Address
First Line	:	8080 EDEN RD APT 351
Second Line	:
City	:	EDEN PRAIRIE
State	:	MN
Zip	:	55344-7676
Country	:	US
Telephone Number	:	858-216-6278
Fax Number	:

Provider Business Practice Location Address
First Line	:	6300 SHINGLE CREEK PKWY
Second Line	:
City	:	BROOKLYN CENTER
State	:	MN
Zip	:	55430-2124
Country	:	US
Telephone Number	:	858-216-6278
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2021
Last Update Date	:	12/14/2021

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Directions to “ NAWAL MUHUMED ” Practice Location

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