MEDICARE: ABDIRIZAK ABDULLAHI

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	376J00000X	Homemaker
2	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1588553382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABDIRIZAK ABDULLAHI

Provider Business Mailing Address
First Line	:	4995 HANNAH NOBLE WAY
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-4991
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4995 HANNAH NOBLE WAY
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-4991
Country	:	US
Telephone Number	:	614-450-2256
Fax Number	:

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

Provider Enumeration Date	:	06/28/2025
Last Update Date	:	06/28/2025

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