MEDICARE: ASHA M HUSSEIN

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		OH

General Provider Information

NPI Number	:	1518262781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHA M HUSSEIN

Provider Business Mailing Address
First Line	:	4937 WEST BROAD STREET
Second Line	:	SUITE 101
City	:	COLUMBUS
State	:	OH
Zip	:	43228
Country	:	US
Telephone Number	:	614-439-0007
Fax Number	:	614-515-5913

Provider Business Practice Location Address
First Line	:	4937 W BROAD ST
Second Line	:	SUITE 101
City	:	COLUMBUS
State	:	OH
Zip	:	43228-1646
Country	:	US
Telephone Number	:	614-439-0007
Fax Number	:	614-515-5913

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

Provider Enumeration Date	:	01/20/2011
Last Update Date	:	07/29/2011

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Directions to “ ASHA M HUSSEIN ” Practice Location

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