MEDICARE: MOHAMEDNUR HASSAN

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		OH

General Provider Information

NPI Number	:	1841026291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMEDNUR HASSAN

Provider Business Mailing Address
First Line	:	18704 HOMEWAY RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44135-4026
Country	:	US
Telephone Number	:	216-235-8378
Fax Number	:

Provider Business Practice Location Address
First Line	:	18704 HOMEWAY RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44135-4026
Country	:	US
Telephone Number	:	216-235-8378
Fax Number	:

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

Provider Enumeration Date	:	09/11/2024
Last Update Date	:	09/11/2024

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Directions to “ MOHAMEDNUR HASSAN ” Practice Location

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