Individual
AYAN MOHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1791 ALUM CREEK DR, COLUMBUS, OH 43207-1708
(614) 445-8131
Mailing address
4561 BRIDGEWOOD CT, COLUMBUS, OH 43229-5874
(919) 903-4798
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
447795
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922368166
—
OH
05
—
31-0732345
—
OH
Enumeration date
09/19/2018
Last updated
09/19/2018
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