Provider Demographics
NPI:1407651268
Name:ABUMAYE, SUADA
Entity type:Individual
Prefix:
First Name:SUADA
Middle Name:
Last Name:ABUMAYE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1386 SEATON CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-2650
Mailing Address - Country:US
Mailing Address - Phone:773-812-9666
Mailing Address - Fax:
Practice Address - Street 1:1386 SEATON CT
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-2650
Practice Address - Country:US
Practice Address - Phone:773-812-9666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic
No171W00000XOther Service ProvidersContractor
No372500000XNursing Service Related ProvidersChore Provider
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider