MEDICARE: MR. SHAFI ABDULLE CNP

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	363LP2300X	Primary Care Nurse Practitioner	6856	MN

General Provider Information

NPI Number	:	1619525987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SHAFI ABDULLE CNP

Provider Business Mailing Address
First Line	:	4727 HIAWATHA AVE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55406-3928
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4727 HIAWATHA AVE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55406-3928
Country	:	US
Telephone Number	:	999-999-9999
Fax Number	:

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

Provider Enumeration Date	:	08/29/2019
Last Update Date	:	03/17/2026

Similar Medicare Providers

1093806598 — DR. JOAN MARIE JAKUBAS D.D.S.
Practice Location Address:

4721 HIAWATHA AVE
MINNEAPOLIS, MN
55406-3928

Practice Phone: 612-721-3012
Practice Fax: 612-721-5106

1679628309 — DR. JASON OWEN WALLIN DC
Practice Location Address:

4717 HIAWATHA AVE
MINNEAPOLIS, MN
55406-3928

Practice Phone: 612-721-2146
Practice Fax:

1861548893 — SUSAN PHILLIPS
Practice Location Address:

4723 HIAWATHA AVE
MINNEAPOLIS, MN
55406-3928

Practice Phone: 612-721-6338
Practice Fax: 612-729-8378

1649479049 — DAVID RAEL
Practice Location Address:

4723 HIAWATHA AVE
MINNEAPOLIS, MN
55406-3928

Practice Phone: 612-721-6338
Practice Fax: 612-729-8378

1235493966 — ERIN MARIE COOK HIS
Practice Location Address:

4723 HIAWATHA AVE
MINNEAPOLIS, MN
55406-3928

Practice Phone: 612-272-6338
Practice Fax: 612-729-8378

1730582156 — SOUTH MINNEAPOLIS WALK-IN CLINIC LLC
Practice Location Address:

4727 HIAWATHA AVE
MINNEAPOLIS, MN
55406-3928

Practice Phone: 612-205-9326
Practice Fax:

Directions to “ MR. SHAFI ABDULLE CNP” 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.