Healthcare Provider Details

I. General information

NPI: 1043174147
Provider Name (Legal Business Name): SAFIYA MOHAMED
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3781 TOWNE CENTER BLVD
COLUMBUS OH
43219-3106
US

IV. Provider business mailing address

3781 TOWNE CENTER BLVD
COLUMBUS OH
43219-3106
US

V. Phone/Fax

Practice location:
  • Phone: 614-569-9771
  • Fax:
Mailing address:
  • Phone: 614-569-9771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License NumberSZ547421
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: