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Contact Information

OBSA MOHAMED
929 PORTLAND AVE APT 2407
MINNEAPOLIS, MN55404-1277
 Phone: 612-226-0907
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Private Vehicle

347C00000X
Indicates primary specialty

NPI Profile & details for OBSA MOHAMED · (Male)

NPI # 1194264549
Status Active
Credentials
Entity Individual
Enumeration date 02/17/2017
Last updated 10/25/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 902963300022
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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