ABDULAZIZ GABOW MBBS
NPI 1003505892
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Q: What is Abdulaziz Gabow's NPI number?

The NPI number for Abdulaziz Gabow is 1003505892. It was assigned to this individual provider in the NPPES registry on May 5, 2023.

Q: What is Abdulaziz Gabow's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Abdulaziz Gabow was last updated on May 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 05, 2023PECOS Enrolled

2426 W BROADWAY AVE, MINNEAPOLIS, MN 55411(612) 302-8200 Get Directions Write a Review

NPPES record last updated: May 5, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Abdulaziz Gabow Mbbs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABDULAZIZ GABOW MBBS (NPI 1003505892) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1003505892

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameABDULAZIZ GABOWCredential: MBBS

Location Address2426 W BROADWAY AVEMinneapolis, MN 55411-1735

Mailing Address2426 W Broadway AveMinneapolis, MN 55411-1735

Phone(612) 302-8200

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMay 5, 2023

NPPES CertifiedMay 5, 2023

✔ NPI 1003505892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2426 W BROADWAY AVE, Minneapolis, MN 55411

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abdulaziz Gabow Mbbs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799144713

PECOS Enrollment IDI20260605001048

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.