Provider Demographics
NPI:1316714579
Name:BROWN, MUJAHID S
Entity type:Individual
Prefix:
First Name:MUJAHID
Middle Name:S
Last Name:BROWN
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 1:2000 LEE RD STE 21
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44118-2559
Mailing Address - Country:US
Mailing Address - Phone:216-810-8255
Mailing Address - Fax:
Practice Address - Street 1:2000 LEE RD STE 21
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44118-2559
Practice Address - Country:US
Practice Address - Phone:216-810-8255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-07
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion