Individual provider · Type 1 NPI

Abdirahman Hassan Shafad

Student in an Organized Health Care Education/Training Program · Montclair, NJ

NPI number 1508618117 Active

Practice location

1 Bay Ave
Montclair, NJ 07042-4837

Call (862) 333-4700 Map

Mailing address

6319 N Ridge Ave
Chicago, IL 60660-1016

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone 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 1508618117

Abdirahman Hassan Shafad's National Provider Identifier is 1508618117, issued on Apr 5, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Montclair, NJ. The record was last updated on Apr 5, 2024.