Individual provider · NPI-1

Mustafa Hassan Ahmed

Contractor · Minneapolis, MN

NPI number1073768156
StatusActive
Last updated in NPPESFeb 7, 2012

Details

NPI
1073768156
Entity type
Individual (NPI-1)
Name
Mr. Mustafa Hassan Ahmed
Sex
Male
Sole proprietor
No
Enumeration date
Nov 17, 2008
Last updated
Feb 7, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171W00000X Contractor––Yes

Practice location

2910 Pillsbury Ave S
131
Minneapolis, MN 55408-2297

Phone 952-220-9158 · Fax 763-412-8913

Mailing address

2910 Pillsbury Ave S
Minneapolis, MN 55408-2297

Phone 952-220-9158 · Fax 612-824-4487

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Contractor providers in Minneapolis, MN