Provider Demographics
NPI:1053113936
Name:MOHAMED, ZAHRA MOHAMUD
Entity type:Individual
Prefix:
First Name:ZAHRA
Middle Name:MOHAMUD
Last Name:MOHAMED
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 W LAKE ST APT 323
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-3152
Mailing Address - Country:US
Mailing Address - Phone:920-327-2289
Mailing Address - Fax:
Practice Address - Street 1:1 W LAKE ST APT 323
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55408-3152
Practice Address - Country:US
Practice Address - Phone:920-327-2289
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst