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NPI Code Detail

MEDICARE: MR. CHARLES MUHAMMAD

MEDICARE:  MR. CHARLES  MUHAMMAD
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 : 1497513147
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHARLES MUHAMMAD
Provider Business Mailing Address
First Line : 5721 CROWN CREST LN
Second Line :
City : COLUMBUS
State : OH
Zip : 43235-7210
Country : US
Telephone Number : 615-572-5858
Fax Number :
Provider Business Practice Location Address
First Line : 5721 CROWN CREST LN
Second Line :
City : COLUMBUS
State : OH
Zip : 43235-7210
Country : US
Telephone Number : 615-572-5858
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2024
Last Update Date : 03/07/2024

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Directions to “ MR. CHARLES MUHAMMAD ” Practice Location

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