MEDICARE: GLOBAL HEALTH AND ACADEMIC CONSULTATIONS LLP

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	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1821842261
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLOBAL HEALTH AND ACADEMIC CONSULTATIONS LLP

Provider Business Mailing Address
First Line	:	322 W LAKE ST STE 215B
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55408-5202
Country	:	US
Telephone Number	:	612-403-1569
Fax Number	:	612-460-4005

Provider Business Practice Location Address
First Line	:	322 W LAKE ST STE 215B
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55408-5202
Country	:	US
Telephone Number	:	612-403-1569
Fax Number	:	612-460-4005

Authorized Official
Title or Position	:	OFFICER
Name	:	SUAD ALI DHIISOW
Credential	:
Telephone Number	:	612-403-1569

Provider Enumeration Date	:	04/12/2024
Last Update Date	:	07/23/2024

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