NPI 1194410068

Abdisamad Khalif Ali

Practitioner Driver Minneapolis, MN

Practice location

Address: 5501 Nicollet Ave APT 205, Minneapolis, MN 55419-1946
Phone: (206) 708-0478

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1194410068
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Apr 2023
Record last updated: 11 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.