Search › Minnesota › 363A00000X
Fadumo Ismail
NPI 1336862408 · on the registry since 2022
Practice
- Address
- 6545 France Ave S
Edina, MN 55435 - Phone
- (952) 848-5600
- Organisation at this address
- Pdg,P.A.
Pdg,P.A.
Lundquist, Pa
Soundgate, Inc
Kc Core Mn PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 194
Additional practice sites
- 1462 Clifton Rd Ne Ste 280, Atlanta, GA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
- Licence states on file
- GA, MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-11-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota