Provider Demographics
NPI:1770376428
Name:DEKOW, ABDIMALIK AHMED
Entity type:Individual
Prefix:
First Name:ABDIMALIK
Middle Name:AHMED
Last Name:DEKOW
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 1:8937 AZTEC DR
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55347-2635
Mailing Address - Country:US
Mailing Address - Phone:952-529-8769
Mailing Address - Fax:612-545-0101
Practice Address - Street 1:8937 AZTEC DR
Practice Address - Street 2:
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55347-2635
Practice Address - Country:US
Practice Address - Phone:952-529-8769
Practice Address - Fax:612-545-0101
Is Sole Proprietor?:No
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health