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Mao Dahiv Duhulow

Physician β€’ Minneapolis, MN

Deactivated NPI 1407238793 Deactivated in NPPES Male Practitioner
Practice location in NPPES

1304 East Lake Street, Suit 202
Minneapolis, MN 55407

Phone: 6122290867

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of March 07, 2017; the reason is not published. The records below are historical. They do not show whether Mao Duhulow currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date June 23, 2015
NPI Deactivation Date March 07, 2017
NPI Active Period 2015 – 2017

Practice Location & Contact Primary Location

Practice Address

1304 East Lake Street
Suit 202

Minneapolis, MN 55407

Telephone 6122290867
Organization at the Same NPPES Address or Phone
Mdd Home Health Care Llc Facility NPI 1902354301

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Minneapolis and Minnesota

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Non-emergency Medical Transport (VAN) Primary Specialty

NUCC Taxonomy Code: 343900000X

A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated March 07, 2017

NPPES lists this NPI as deactivated as of March 07, 2017; the reason is not published.

βœ…
NPI Profile Active July 06, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 06, 2015

Registered at 1304 EAST LAKE STREET, SUIT 202, MINNEAPOLIS, MN 55407 (Tel: 6122290867)

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Business Mailing Address (Initial Record) July 06, 2015

Registered at 1360 UNIVERSITY AVE WEST, SUIT 153, ST. PAUL, MN 55104 (Tel: 6122290867)

πŸ‘€
Provider Name / Credentials (Initial Record) July 06, 2015

Recorded as MAO DUHULOW

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2015

Non-emergency Medical Transport (VAN)

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Initial NPI Registration & Enumeration June 23, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1407238793
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2015
Last Update: July 06, 2015
Deactivation Date: March 07, 2017

Mailing Address

1360 University Ave West, Suit 153

St. Paul, MN 55104

Phone: 6122290867

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.