MEDICARE: NAKIA MUHAMMAD

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	374U00000X	Home Health Aide		IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598411878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAKIA MUHAMMAD

Provider Business Mailing Address
First Line	:	1817 BLACK BEAR DR
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46808-3512
Country	:	US
Telephone Number	:	260-515-6780
Fax Number	:

Provider Business Practice Location Address
First Line	:	1817 BLACK BEAR DR
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46808-3512
Country	:	US
Telephone Number	:	260-515-6780
Fax Number	:

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

Provider Enumeration Date	:	02/25/2022
Last Update Date	:	02/25/2022

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Directions to “ NAKIA MUHAMMAD ” Practice Location

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