Provider Demographics
NPI:1144408634
Name:BAH, BINTU SENTHO (LPN)
Entity Type:Individual
Prefix:
First Name:BINTU
Middle Name:SENTHO
Last Name:BAH
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6106 COOPER WOODS DR
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-8775
Mailing Address - Country:US
Mailing Address - Phone:614-537-7078
Mailing Address - Fax:
Practice Address - Street 1:6106 COOPER WOODS DR
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-8775
Practice Address - Country:US
Practice Address - Phone:614-537-7078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-06
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN. 121363164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse