Provider Demographics
NPI:1124494075
Name:HAMEED, SYBIL NADIRAH
Entity type:Individual
Prefix:MS
First Name:SYBIL
Middle Name:NADIRAH
Last Name:HAMEED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 4TH DR SW UNIT 1304
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44485-5809
Mailing Address - Country:US
Mailing Address - Phone:614-632-9183
Mailing Address - Fax:
Practice Address - Street 1:1420 4TH DR SW UNIT 1304
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44485-5809
Practice Address - Country:US
Practice Address - Phone:614-632-9183
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-14
Last Update Date:2015-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN136935-M-IV3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant