MEDICARE: IDIL MOHAMED

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	374U00000X	Home Health Aide	I00000003004	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326792367
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IDIL MOHAMED

Provider Business Mailing Address
First Line	:	1425 W RUNNING BROOK RD
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37209-5045
Country	:	US
Telephone Number	:	651-354-3596
Fax Number	:

Provider Business Practice Location Address
First Line	:	1425 W RUNNING BROOK RD
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37209-5045
Country	:	US
Telephone Number	:	651-354-3596
Fax Number	:

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

Provider Enumeration Date	:	02/08/2022
Last Update Date	:	02/08/2022

Similar Medicare Providers

1639478993 — NAVAS SOFIA YOONUS-KUNJU
Practice Location Address:

1429 W RUNNING BROOK RD
NASHVILLE, TN
37209-5045

Practice Phone: 615-525-3142
Practice Fax:

1578826624 — ADA LUTHER
Practice Location Address:

334 46TH AVE N UNIT A
NASHVILLE, TN
37209-3451

Practice Phone: 615-647-9009
Practice Fax:

1891186094 — MS. RONI ELYSE LEVY
Practice Location Address:

5300 CENTENNIAL BLVD STE 210
NASHVILLE, TN
37209-1696

Practice Phone: 615-882-4196
Practice Fax:

1942147558 — HOPE ELIZABETH EVANS
Practice Location Address:

3808 PARK AVE
NASHVILLE, TN
37209-3741

Practice Phone: 615-331-1141
Practice Fax:

1316884984 — ANNE MOBERLY
Practice Location Address:

6216B NEW YORK AVE
NASHVILLE, TN
37209-1336

Practice Phone: 615-340-7781
Practice Fax:

1013854587 — JORDAN SCOTT
Practice Location Address:

2500 CHARLOTTE AVE
NASHVILLE, TN
37209-4129

Practice Phone: 615-340-7781
Practice Fax:

Directions to “ IDIL MOHAMED ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.