Provider Demographics
NPI:1487070199
Name:GULED, SACAD (MBA)
Entity type:Individual
Prefix:
First Name:SACAD
Middle Name:
Last Name:GULED
Suffix:
Gender:M
Credentials:MBA
Other - Prefix:
Other - First Name:NA
Other - Middle Name:NA
Other - Last Name:NA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MBA
Mailing Address - Street 1:929 PORTLAND AVE
Mailing Address - Street 2:SUITE 810
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-1192
Mailing Address - Country:US
Mailing Address - Phone:612-877-1089
Mailing Address - Fax:
Practice Address - Street 1:115 CRAIG WAY NE
Practice Address - Street 2:
Practice Address - City:FRIDLEY
Practice Address - State:MN
Practice Address - Zip Code:55432-3010
Practice Address - Country:US
Practice Address - Phone:612-877-1089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-06
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide