Provider Demographics
NPI:1871329870
Name:AHMED, SAIDO HUSSEIN
Entity type:Individual
Prefix:
First Name:SAIDO
Middle Name:HUSSEIN
Last Name:AHMED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2303 27TH AVE S APT 110
Mailing Address - Street 2:
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58201-6493
Mailing Address - Country:US
Mailing Address - Phone:763-200-0083
Mailing Address - Fax:
Practice Address - Street 1:2303 27TH AVE S APT 110
Practice Address - Street 2:
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58201-6493
Practice Address - Country:US
Practice Address - Phone:763-200-0083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No171W00000XOther Service ProvidersContractor