Fatima Sufi, SYSTEM ADMINISTRATOR

NPI #1861192353 in Chaska, Minnesota

Provider Information

NPI Number: 1861192353
Entity Type: Individual
Name: Fatima Sufi, SYSTEM ADMINISTRATOR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Clinic/Center - Rehabilitation
Credential: SYSTEM ADMINISTRATOR
Enumeration Date: Mar 6, 2023
Last Updated: Mar 6, 2023

Practice Location

Address: 1107 HAZELTINE BLVD STE 484
City: Chaska
State: Minnesota
ZIP Code: 55318-1065
Phone: (612) 446-5480

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
Dentist	122300000X
Nursing Care	251J00000X
Foster Care Agency	253J00000X
Clinic/Center	261Q00000X
Clinic/Center - Recovery Care — Recovery Care	261QR0800X
Assisted Living Facility	310400000X
Clinic/Center - Rehabilitation — Rehabilitation	261QR0400X	Primary

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