MEDICARE: REIHAN COMPANY

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1811245897
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REIHAN COMPANY

Provider Business Mailing Address
First Line	:	7455 FRANCE AVE S # 286
Second Line	:
City	:	EDINA
State	:	MN
Zip	:	55435
Country	:	US
Telephone Number	:	952-212-1146
Fax Number	:

Provider Business Practice Location Address
First Line	:	7455 FRANCE AVE S # 286
Second Line	:
City	:	EDINA
State	:	MN
Zip	:	55435-4702
Country	:	US
Telephone Number	:	952-212-1146
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. KAMALUDIN AHMED HASSAN
Credential	:
Telephone Number	:	952-212-1146

Provider Enumeration Date	:	08/22/2012
Last Update Date	:	08/22/2012

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Directions to “REIHAN COMPANY ” Practice Location

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