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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHAKUR ABDISALAM

Active Sole Proprietor

SHAKUR ABDISALAM is a Home Health healthcare provider located in BLOOMINGTON, Minnesota. NPI 1194326942 is currently active in the NPPES registry. Verify at CMS.

Home Health · BLOOMINGTON, MN

Registration Details

NPI Number
1194326942
Provider Type
Individual
Gender
Male
NPI Issued
Nov 6, 2020 (5.7268741354642 yrs)
Last Updated
Nov 6, 2020
License
397226 (MN)
Sole Proprietor
Yes

Practice Information

Address
1440 E OLD SHAKOPEE RD
BLOOMINGTON, MN, 554252438
Browse MN providers · Browse ZIP 55425
Phone
9522014493
Primary Specialty
Home Health
251E00000X

Other Home Health Providers in BLOOMINGTON, MN

Name Credential NPI
MOHAMUD D JAMA 1750154605
ZAKARIYA YUSUF 1184505869
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.