Provider Demographics
NPI:1528792256
Name:KAHIN, MOHAMEDNAJIB MOHAMUD SR
Entity type:Individual
Prefix:
First Name:MOHAMEDNAJIB
Middle Name:MOHAMUD
Last Name:KAHIN
Suffix:SR
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 1:4920 S 14TH ST APT 102
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53221-3585
Mailing Address - Country:US
Mailing Address - Phone:414-249-7396
Mailing Address - Fax:
Practice Address - Street 1:4920 S 14TH ST APT 102
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53221-3585
Practice Address - Country:US
Practice Address - Phone:414-249-7396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-09
Last Update Date:2022-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WIK50055395042091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical