Provider Demographics
NPI:1710700737
Name:ABDULLAHI, SALIIM ABDIKADIR
Entity type:Individual
Prefix:
First Name:SALIIM
Middle Name:ABDIKADIR
Last Name:ABDULLAHI
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 1:8500 PILLSBURY AVE S
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55420-2246
Mailing Address - Country:US
Mailing Address - Phone:612-474-2121
Mailing Address - Fax:651-377-4499
Practice Address - Street 1:8500 PILLSBURY AVE S
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55420-2246
Practice Address - Country:US
Practice Address - Phone:612-474-2121
Practice Address - Fax:651-377-4499
Is Sole Proprietor?:No
Enumeration Date:2024-11-07
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician