Provider Demographics
NPI:1598108631
Name:ABDULLE, FARHIYO ADEN (MD)
Entity type:Individual
Prefix:DR
First Name:FARHIYO
Middle Name:ADEN
Last Name:ABDULLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 CHICAGO AVE STE LL08
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-1353
Mailing Address - Country:US
Mailing Address - Phone:612-255-0759
Mailing Address - Fax:
Practice Address - Street 1:2800 CHICAGO AVE STE LL08
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-1353
Practice Address - Country:US
Practice Address - Phone:612-255-0759
Practice Address - Fax:612-677-3621
Is Sole Proprietor?:No
Enumeration Date:2013-04-08
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNE405050262409390200000X
MN62423207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program