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Contact Information

IDMAN F AHMED
1913 BROADWAY ST NE # 100
MINNEAPOLIS, MN55413-2627
 Phone: 763-353-0763
 Fax: 763-260-9898
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for IDMAN F AHMED · (Female)

NPI # 1811856420
Status Active
Credentials
Entity Individual
Enumeration date 01/20/2026
Last updated 01/20/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • MN Medicaid 05636163
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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