MEDICARE: SAMIRA MAHMOUD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	376J00000X	Homemaker	OH
2	374U00000X	Home Health Aide	OH
3	376K00000X	Nurse's Aide	OH

General Provider Information

NPI Number	:	1245104884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMIRA MAHMOUD

Provider Business Mailing Address
First Line	:	6847 STEWART RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45236-4100
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6847 STEWART RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45236-4100
Country	:	US
Telephone Number	:	513-883-3892
Fax Number	:

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

Provider Enumeration Date	:	10/04/2025
Last Update Date	:	10/06/2025

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Directions to “ SAMIRA MAHMOUD ” Practice Location

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