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NPI Code Detail

MEDICARE: RAHEEM HENRY GBOR

MEDICARE: RAHEEM HENRY GBOR
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1477412336
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAHEEM HENRY GBOR
Provider Business Mailing Address
First Line : 4661 SAWMILL RD
Second Line :
City : UPPER ARLINGTON
State : OH
Zip : 43220-6123
Country : US
Telephone Number : 614-270-3110
Fax Number :
Provider Business Practice Location Address
First Line : 5120 GODOWN RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43220-7202
Country : US
Telephone Number : 614-210-0830
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2026
Last Update Date : 01/16/2026

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Directions to “ RAHEEM HENRY GBOR ” Practice Location

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