Provider Demographics
NPI:1831078781
Name:GULED, ABSHIR ABDIRAHMAN SR
Entity type:Individual
Prefix:MR
First Name:ABSHIR
Middle Name:ABDIRAHMAN
Last Name:GULED
Suffix:SR
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:ABSHIR
Other - Middle Name:A
Other - Last Name:GULED
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ABSHIR
Mailing Address - Street 1:4070 S PACKARD AVE APT 14
Mailing Address - Street 2:
Mailing Address - City:ST FRANCIS
Mailing Address - State:WI
Mailing Address - Zip Code:53235-4845
Mailing Address - Country:US
Mailing Address - Phone:763-742-8017
Mailing Address - Fax:763-742-8017
Practice Address - Street 1:4070 S PACKARD AVE APT 14101
Practice Address - Street 2:
Practice Address - City:ST FRANCIS
Practice Address - State:WI
Practice Address - Zip Code:53235-4804
Practice Address - Country:US
Practice Address - Phone:763-742-8017
Practice Address - Fax:763-742-8017
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-27
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)