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

ABDIKADAR BOURALEH

Active Sole Proprietor

ABDIKADAR BOURALEH is a Air Carrier healthcare provider located in LITTLE CANADA, Minnesota. NPI 1447073457 is currently active in the NPPES registry. Verify at CMS.

Air Carrier · LITTLE CANADA, MN

Registration Details

NPI Number
1447073457
Provider Type
Individual
Gender
Male
NPI Issued
Nov 7, 2024 (1.7890932547821 yrs)
Last Updated
Nov 7, 2024
License
385117 (MN)
Sole Proprietor
Yes

Practice Information

Address
75 TWIN LAKE BLVD APT 114
LITTLE CANADA, MN, 551274039
Browse MN providers · Browse ZIP 55127
Phone
2074408021
Fax
7633748511
Primary Specialty
Air Carrier
343800000X
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.