Healthcare Provider Details

I. General information

NPI: 1235052713
Provider Name (Legal Business Name): ABDULMALIK ABA NUMAI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11100 EUCLID AVENUE, CLEVELAND, OH 44106.
CLEVELAND OH
44106
US

IV. Provider business mailing address

11100 EUCLID AVENUE, CLEVELAND, OH 44106
CLEVELAND OH
44106
US

V. Phone/Fax

Practice location:
  • Phone: 216-844-3833
  • Fax:
Mailing address:
  • Phone: 216-844-3833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number57.259989
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: