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NPI Code Detail

MEDICARE: ABDULAZIZ AHMED

MEDICARE:   ABDULAZIZ  AHMED
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

General Provider Information

NPI Number : 1578426235
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABDULAZIZ AHMED
Provider Business Mailing Address
First Line : 4008 MINNEHAHA AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55406-3306
Country : US
Telephone Number : 612-387-6968
Fax Number : 612-213-1206
Provider Business Practice Location Address
First Line : 4008 MINNEHAHA AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55406-3306
Country : US
Telephone Number : 612-387-6968
Fax Number : 612-213-1206
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

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Directions to “ ABDULAZIZ AHMED ” Practice Location

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