Provider Demographics
NPI:1609614130
Name:OSMAN, MUHUBA AHMED
Entity type:Individual
Prefix:
First Name:MUHUBA
Middle Name:AHMED
Last Name:OSMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MUHUBA
Other - Middle Name:AHMED
Other - Last Name:OSMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1901 W 80 1/2 ST UNIT 104
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55431-5107
Mailing Address - Country:US
Mailing Address - Phone:612-919-8006
Mailing Address - Fax:
Practice Address - Street 1:4470 W 78TH STREET CIR STE 228
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55435-5408
Practice Address - Country:US
Practice Address - Phone:612-919-8006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide