MEDICARE: AZEEZ O BAKARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	3747P1801X	Personal Care Attendant
2	253Z00000X	In Home Supportive Care Agency
3	251X00000X	Supports Brokerage Agency

General Provider Information

NPI Number	:	1598571531
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AZEEZ O BAKARE

Provider Business Mailing Address
First Line	:	3689 HAMMERWOOD CT
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43219-3125
Country	:	US
Telephone Number	:	614-779-7644
Fax Number	:

Provider Business Practice Location Address
First Line	:	3689 HAMMERWOOD CT
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43219-3125
Country	:	US
Telephone Number	:	614-779-7644
Fax Number	:

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

Provider Enumeration Date	:	12/04/2024
Last Update Date	:	12/04/2024

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Directions to “ AZEEZ O BAKARE ” Practice Location

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