Fatima Sufi, SYSTEM ADMINISTRATOR is a
Clinic/center - Rehabilitation based in Chaska, Minnesota. Fatima Sufi is licensed to practice in Minnesota (license number 411159) and her current practice location is
1107 Hazeltine Blvd Ste 484, Chaska, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(612) 446-5480.
NPI number for Fatima Sufi is 1861192353 and her current mailing address is 1107 Hazeltine Blvd Ste 484, Chaska, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861192353.
Healthcare Provider's Profile
| Full Name | Fatima Sufi |
|---|
| Gender | Female |
|---|
| Speciality | Clinic/center - Rehabilitation |
|---|
| Location | 1107 Hazeltine Blvd Ste 484, Chaska, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1861192353
- Provider Enumeration Date: 03/06/2023
- Last Update Date: 03/06/2023
Medical Identifiers
Medical identifiers for Fatima Sufi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861192353 | NPI | - | NPPES |
| 411159 | Other | MN | MINNESOTA DEPARTMENT OF HEALTH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 411159 (Minnesota) | Secondary |
| 122300000X | Dentist | 411159 (Minnesota) | Secondary |
| 251J00000X | Nursing Care | 411159 (Minnesota) | Secondary |
| 253J00000X | Foster Care Agency | 411159 (Minnesota) | Secondary |
| 261Q00000X | Clinic/center | 411159 (Minnesota) | Secondary |
| 261QR0800X | Clinic/center - Recovery Care | 411159 (Minnesota) | Secondary |
| 310400000X | Assisted Living Facility | 411159 (Minnesota) | Secondary |
| 261QR0400X | Clinic/center - Rehabilitation | 411159 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Fatima Sufi is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Fatima Sufi, SYSTEM ADMINISTRATOR
1107 Hazeltine Blvd Ste 484,
Chaska, MN 55318-1065
Ph: (612) 446-5480 | Fatima Sufi, SYSTEM ADMINISTRATOR
1107 Hazeltine Blvd Ste 484,
Chaska, MN 55318-1065
Ph: (612) 446-5480 |
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