Provider Demographics
NPI:1457248965
Name:GEDI, FEISAL SHAKIR
Entity type:Individual
Prefix:
First Name:FEISAL
Middle Name:SHAKIR
Last Name:GEDI
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 1:2900 PLEASANT AVE UNIT 412
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-5512
Mailing Address - Country:US
Mailing Address - Phone:612-900-5128
Mailing Address - Fax:
Practice Address - Street 1:2900 PLEASANT AVE UNIT 412
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55408-5512
Practice Address - Country:US
Practice Address - Phone:612-900-5128
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst