Provider Demographics
NPI:1285518563
Name:KHALIF, ABDIGADIR
Entity type:Individual
Prefix:
First Name:ABDIGADIR
Middle Name:
Last Name:KHALIF
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5676 BROADVIEW RD APT 635
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44134-1689
Mailing Address - Country:US
Mailing Address - Phone:651-353-6223
Mailing Address - Fax:
Practice Address - Street 1:5676 BROADVIEW RD APT 635
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44134-1689
Practice Address - Country:US
Practice Address - Phone:651-353-6223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program