MEDICARE: HAWO MOHAMUD IBRAHIM

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	376J00000X	Homemaker

General Provider Information

NPI Number	:	1558131706
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAWO MOHAMUD IBRAHIM

Provider Business Mailing Address
First Line	:	53 EASTPOINTE RIDGE DR APT 225
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43213-1593
Country	:	US
Telephone Number	:	614-962-5359
Fax Number	:

Provider Business Practice Location Address
First Line	:	53 EASTPOINTE RIDGE DR APT 225
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43213-1593
Country	:	US
Telephone Number	:	614-962-5359
Fax Number	:

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

Provider Enumeration Date	:	01/08/2024
Last Update Date	:	01/08/2024

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Directions to “ HAWO MOHAMUD IBRAHIM ” Practice Location

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