Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fadumo Abddullahi Bashir

Individual provider Physician Assistant · NPI 1831880335

Fadumo Abddullahi Bashir is a Physician Assistant in Minneapolis, Minnesota. Qualified in 2025, 1 year ago. Works from 3 locations. Licensed in Minnesota.

Years since qualifying
1
Licensed in
MN
In the registry since
2023
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Practice location Address checks out

2211 Riverside Ave
Minneapolis, MN 55454-1350
Phone: (612) 545-7622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 640 Jackson St, Saint Paul, MN 55101-2502 — (651) 254-3456
  • 927 Churchill St W, Stillwater, MN 55082-6605 — (651) 430-4529

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15647 (MN)

Record details

NPI number1831880335
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 16, 2023
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026
Mailing address2211 Riverside Ave, Minneapolis, MN 55454-1350

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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