Provider Demographics
NPI:1144088329
Name:DAAHIR, FADUMO CABDI
Entity type:Individual
Prefix:
First Name:FADUMO
Middle Name:CABDI
Last Name:DAAHIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8537 CARDIFF LN
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-7661
Mailing Address - Country:US
Mailing Address - Phone:763-269-0407
Mailing Address - Fax:
Practice Address - Street 1:8537 CARDIFF LN
Practice Address - Street 2:
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55344-7661
Practice Address - Country:US
Practice Address - Phone:763-269-0407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-12
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)