| Shifa Metro Clinic Pllc | |
|
5270 W 84th St Ste 370 Bloomington MN 55437-1377 | |
| (952) 395-5222 | |
| (952) 395-5333 |
| Full Name | Shifa Metro Clinic Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5270 W 84th St Ste 370, Bloomington, Minnesota |
| Authorized Official Name and Position | Abdirizak Nuno (OWNER/PROVIDER) |
| Authorized Official Contact | 9523952222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shifa Metro Clinic Pllc 5270 W. 84th Street Suite 370 Bloomington MN 55437-1377 Ph: (952) 395-5222 | Shifa Metro Clinic Pllc 5270 W 84th St Ste 370 Bloomington MN 55437-1377 Ph: (952) 395-5222 |
| NPI Number | 1508443144 |
|---|---|
| Provider Enumeration Date | 03/29/2021 |
| Last Update Date | 07/07/2021 |
| Certification Date | 07/07/2021 |
| Medicare PECOS PAC ID | 6901215078 |
|---|---|
| Medicare Enrollment ID | O20210503001875 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508443144 | NPI | - | NPPES |
| 61163 | Other | MN | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Abdirizak K Nuno |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811316730 PECOS PAC ID: 5890093736 Enrollment ID: I20180720002249 |
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