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NPI Code Detail

MEDICARE: HIKMAH WELLNESS LLC

MEDICARE: HIKMAH WELLNESS LLC
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
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1497578132
Entity Type Code : Organization
Provider Name (Legal Business Name) : HIKMAH WELLNESS LLC
Provider Business Mailing Address
First Line : 6160 SUMMIT DR N STE 226
Second Line :
City : BROOKLYN CENTER
State : MN
Zip : 55430-2181
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6160 SUMMIT DR N STE 226
Second Line :
City : BROOKLYN CENTER
State : MN
Zip : 55430-2181
Country : US
Telephone Number : 612-208-6703
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MOHAMED ABDIRAHMAN MOHAMED
Credential :
Telephone Number : 612-814-7256
Provider Enumeration Date : 11/01/2024
Last Update Date : 11/01/2024

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Directions to “HIKMAH WELLNESS LLC ” Practice Location

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