Provider Demographics
NPI:1699308122
Name:HABEEB-ULLAH, NADIYAH NAIMAH
Entity type:Individual
Prefix:MISS
First Name:NADIYAH
Middle Name:NAIMAH
Last Name:HABEEB-ULLAH
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 1:179 E EMERLING AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44301-1707
Mailing Address - Country:US
Mailing Address - Phone:330-962-3655
Mailing Address - Fax:
Practice Address - Street 1:179 E EMERLING AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44301-1707
Practice Address - Country:US
Practice Address - Phone:330-962-3655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-12
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2416693Medicaid