MEDICARE: OSMAN ABDIRAHMAN AHMED

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	174200000X	Meals Provider

General Provider Information

NPI Number	:	1245127539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OSMAN ABDIRAHMAN AHMED

Provider Business Mailing Address
First Line	:	3545 CLEVELAND AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43224-2909
Country	:	US
Telephone Number	:	614-815-9525
Fax Number	:

Provider Business Practice Location Address
First Line	:	3545 CLEVELAND AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43224-2909
Country	:	US
Telephone Number	:	614-815-9525
Fax Number	:

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

Provider Enumeration Date	:	06/20/2025
Last Update Date	:	06/20/2025

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