MEDICARE: MOHAMMAD RASHIDIOUN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	S.0600915	OH

General Provider Information

NPI Number	:	1356074819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMMAD RASHIDIOUN

Provider Business Mailing Address
First Line	:	2938 16TH ST. NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44708
Country	:	US
Telephone Number	:	330-268-4058
Fax Number	:

Provider Business Practice Location Address
First Line	:	2938 16TH ST NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44708-3006
Country	:	US
Telephone Number	:	330-268-4058
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2022
Last Update Date	:	07/02/2022

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Directions to “ MOHAMMAD RASHIDIOUN ” Practice Location

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