Individual provider · Type 1 NPI

Ishwaq Yusuf Mohamed

Student in an Organized Health Care Education/Training Program · St. Paul, MN

NPI number 1497567515 Active

Practice location

2958 Vanderbie St
St. Paul, MN 55117-1225

Call (206) 468-4882 Map

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Physician Assistant 363A00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1497567515

Ishwaq Yusuf Mohamed's National Provider Identifier is 1497567515, issued on Jan 24, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Paul, MN. The record was last updated on Jun 2, 2025.