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NPI Code Detail

MEDICARE: AISHATU L MOHAMMED

MEDICARE:   AISHATU L MOHAMMED
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
1163W00000XRegistered NurseRN345651OH

General Provider Information

NPI Number : 1841602679
Entity Type Code : Individual
Provider Name (Legal Business Name) : AISHATU L MOHAMMED
Provider Business Mailing Address
First Line : 3596 INGLESIDE RD
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44122-5002
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3596 INGLESIDE RD
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44122-5002
Country : US
Telephone Number : 330-564-3102
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2014
Last Update Date : 05/28/2014

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Directions to “ AISHATU L MOHAMMED ” Practice Location

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