1851823942 NPI number — SAFIA ABDULKADIR MOHAMUD LINGUALINE

Table of content: SAFIA ABDULKADIR MOHAMUD LINGUALINE (NPI 1851823942)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851823942 NPI number — SAFIA ABDULKADIR MOHAMUD LINGUALINE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MOHAMUD
Provider First Name:
SAFIA
Provider Middle Name:
ABDULKADIR
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LINGUALINE
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1851823942
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/29/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2740 MINNEAHA AVE SUIT 100
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MINNEAPOLIS
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55404
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
612-707-7671
Provider Business Mailing Address Fax Number:
612-249-9005

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2740 MINNEHAHA AVE SUIT 100
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MINNEAPOLIS
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55406
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
612-707-7671
Provider Business Practice Location Address Fax Number:
612-249-9005
Provider Enumeration Date:
03/29/2017

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 171W00000X , with the licence number:  17 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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