Provider Demographics
NPI:1366276834
Name:ALI, AHMED ABDULLAHI
Entity type:Individual
Prefix:
First Name:AHMED
Middle Name:ABDULLAHI
Last Name:ALI
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 1:6201 161ST ST W
Mailing Address - Street 2:
Mailing Address - City:ROSEMOUNT
Mailing Address - State:MN
Mailing Address - Zip Code:55068-1333
Mailing Address - Country:US
Mailing Address - Phone:612-876-8705
Mailing Address - Fax:
Practice Address - Street 1:6201 161ST ST W
Practice Address - Street 2:
Practice Address - City:ROSEMOUNT
Practice Address - State:MN
Practice Address - Zip Code:55068-1333
Practice Address - Country:US
Practice Address - Phone:612-876-8705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-28
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)