DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ISHWAQ YUSUF MOHAMED

MEDICARE: ISHWAQ YUSUF MOHAMED
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 Technician
2363A00000XPhysician Assistant
3390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1497567515
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISHWAQ YUSUF MOHAMED
Provider Business Mailing Address
First Line : 2958 VANDERBIE ST
Second Line :
City : SAINT PAUL
State : MN
Zip : 55117-1225
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2958 VANDERBIE ST
Second Line :
City : SAINT PAUL
State : MN
Zip : 55117-1225
Country : US
Telephone Number : 206-468-4882
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2025
Last Update Date : 06/02/2025

Similar Medicare Providers

1366121816 — MEDIGO TRANSPORTATION LLC
Practice Location Address:
2958 VANDERBIE ST
LITTLE CANADA, MN
55117-1225
Practice Phone: 206-468-4882
Practice Fax:
1639112212 — LORI JANE MILLER RN, WHCNP
Practice Location Address:
17 EXCHANGE ST W STE 622
SAINT PAUL, MN
55102-1225
Practice Phone: 651-297-9141
Practice Fax:
1639626013 — RACHEL VERBY CNP
Practice Location Address:
17 EXCHANGE ST W STE 622
SAINT PAUL, MN
55102-1225
Practice Phone: 651-227-9141
Practice Fax:
1932635547 — TINA KRETSCH
Practice Location Address:
17 EXCHANGE ST W STE 622
SAINT PAUL, MN
55102-1225
Practice Phone: 651-227-9141
Practice Fax: 651-265-6772
1922534536 — CASSANDRA WITTNER CST
Practice Location Address:
17 EXCHANGE ST W STE 622
SAINT PAUL, MN
55102-1225
Practice Phone: 651-227-9141
Practice Fax: 651-265-6772
1831628478 — MRS. MONICA MARIE MCKAY CST
Practice Location Address:
17 EXCHANGE ST W STE 622
SAINT PAUL, MN
55102-1225
Practice Phone: 651-227-9141
Practice Fax: 651-265-6772

Directions to “ ISHWAQ YUSUF MOHAMED ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.