Provider Demographics
NPI:1548785421
Name:HAMID, ADIL (RN)
Entity type:Individual
Prefix:
First Name:ADIL
Middle Name:
Last Name:HAMID
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 E 28TH ST STE 150
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55406-1574
Mailing Address - Country:US
Mailing Address - Phone:612-224-9676
Mailing Address - Fax:
Practice Address - Street 1:2700 E 28TH ST STE 150
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55406-1574
Practice Address - Country:US
Practice Address - Phone:612-224-9676
Practice Address - Fax:612-224-9676
Is Sole Proprietor?:No
Enumeration Date:2017-08-11
Last Update Date:2017-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN208552-8163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse