Provider Demographics
NPI:1306682646
Name:MOHAMMED, SALAHUDDIN
Entity type:Individual
Prefix:
First Name:SALAHUDDIN
Middle Name:
Last Name:MOHAMMED
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4075 CYPRESS AVE
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45806-1150
Mailing Address - Country:US
Mailing Address - Phone:419-230-9526
Mailing Address - Fax:
Practice Address - Street 1:4075 CYPRESS AVE
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45806-1150
Practice Address - Country:US
Practice Address - Phone:419-230-9526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-05
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide