Provider Demographics
NPI:1013806744
Name:AHMED, RIDWAN
Entity type:Individual
Prefix:
First Name:RIDWAN
Middle Name:
Last Name:AHMED
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11348 MINNETONKA MILLS RD
Mailing Address - Street 2:
Mailing Address - City:HOPKINS
Mailing Address - State:MN
Mailing Address - Zip Code:55305-7100
Mailing Address - Country:US
Mailing Address - Phone:507-407-2437
Mailing Address - Fax:
Practice Address - Street 1:11348 MINNETONKA MILLS RD # 55305
Practice Address - Street 2:
Practice Address - City:HOPKINS
Practice Address - State:MN
Practice Address - Zip Code:55305-7100
Practice Address - Country:US
Practice Address - Phone:507-407-2437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health