Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ABDIKADAR BOURALEH
Active Sole ProprietorAir Carrier · LITTLE CANADA, MN
Registration Details
- NPI Number
- 1447073457
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 7, 2024 (1.4555995060207 yrs)
- Last Updated
- Nov 7, 2024
- License
-
385117 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
75 TWIN LAKE BLVD APT 114LITTLE CANADA, MN, 551274039Browse 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.