NPI 1215813852

Mohamed Abdifatah Jibril

Practitioner Driver Minneapolis, MN

Practice location

Address: 2732 Chicago Ave APT 2, Minneapolis, MN 55407-3787
Phone: (612) 702-0781

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence E000-095-119-700 (MN)

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Registry record

NPI: 1215813852
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Aug 2025
Record last updated: 11 Aug 2025

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.