Provider Demographics
NPI:1346135035
Name:GAJA, FUFA GARAMO
Entity type:Individual
Prefix:MR
First Name:FUFA
Middle Name:GARAMO
Last Name:GAJA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8668 LONDON CIR NE UNIT A
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:MN
Mailing Address - Zip Code:55449-7417
Mailing Address - Country:US
Mailing Address - Phone:612-245-1541
Mailing Address - Fax:
Practice Address - Street 1:8668 LONDON CIR NE UNIT A
Practice Address - Street 2:
Practice Address - City:BLAINE
Practice Address - State:MN
Practice Address - Zip Code:55449-7417
Practice Address - Country:US
Practice Address - Phone:612-245-1541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNT880274817616347E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker