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NPI Code Detail

MEDICARE: FATUMA KEDIR AHMED

MEDICARE:   FATUMA KEDIR AHMED
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
1374U00000XHome Health Aide
2372600000XAdult Companion

General Provider Information

NPI Number : 1710442876
Entity Type Code : Individual
Provider Name (Legal Business Name) : FATUMA KEDIR AHMED
Provider Business Mailing Address
First Line : 9743 SOFTWATER WAY
Second Line :
City : COLUMBIA
State : MD
Zip : 21046-1815
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9743 SOFTWATER WAY
Second Line :
City : COLUMBIA
State : MD
Zip : 21046-1815
Country : US
Telephone Number : 240-305-1889
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2019
Last Update Date : 02/04/2019

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Directions to “ FATUMA KEDIR AHMED ” Practice Location

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