Individual
MUTAHHER IBRAZE MOHAMMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
204 PATRICK AVE, URBANA, OH 43078-2302
(937) 653-3445
Mailing address
547 PICADILLY CIR, AKRON, OH 44319-1380
(937) 561-5949
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.151461
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2021
Last updated
08/08/2024
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