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NPI Code Detail

MEDICARE: RAHAF GHENTAWI

MEDICARE:   RAHAF  GHENTAWI
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
1343900000XNon-emergency Medical Transport (VAN)202418402810OH

General Provider Information

NPI Number : 1841036506
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAHAF GHENTAWI
Provider Business Mailing Address
First Line : 8338 WOODGROVE CT
Second Line :
City : SUGARCREEK TOWNSHIP
State : OH
Zip : 45458-1823
Country : US
Telephone Number : 937-979-0704
Fax Number :
Provider Business Practice Location Address
First Line : 8338 WOODGROVE CT
Second Line :
City : SUGARCREEK TOWNSHIP
State : OH
Zip : 45458-1823
Country : US
Telephone Number : 937-979-0704
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2024
Last Update Date : 07/02/2024

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Directions to “ RAHAF GHENTAWI ” Practice Location

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