Provider Demographics
NPI:1285336826
Name:MOHAMED, ZULFA ALI
Entity type:Individual
Prefix:
First Name:ZULFA
Middle Name:ALI
Last Name:MOHAMED
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 1:2166 RUSTIC LEDGE DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-6505
Mailing Address - Country:US
Mailing Address - Phone:614-404-0692
Mailing Address - Fax:
Practice Address - Street 1:2166 RUSTIC LEDGE DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-6505
Practice Address - Country:US
Practice Address - Phone:614-404-0692
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)