Individual
IMAN MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
801 POLARIS PKWY APT 104, COLUMBUS, OH 43240-2400
(716) 380-6170
Mailing address
801 POLARIS PKWY APT 104, COLUMBUS, OH 43240-2400
(716) 380-6170
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
489810
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
489810
OTHER
OH
Enumeration date
07/05/2022
Last updated
07/05/2022
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