Provider Demographics
NPI:1275710840
Name:MOHAMED, NAHEED (DMD)
Entity Type:Individual
Prefix:DR
First Name:NAHEED
Middle Name:
Last Name:MOHAMED
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2515 KEMPER RD
Mailing Address - Street 2:SUITE 307
Mailing Address - City:SHAKER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44120-5500
Mailing Address - Country:US
Mailing Address - Phone:216-421-0673
Mailing Address - Fax:
Practice Address - Street 1:250 S CHESTNUT ST
Practice Address - Street 2:SUITE 30
Practice Address - City:RAVENNA
Practice Address - State:OH
Practice Address - Zip Code:44266-3031
Practice Address - Country:US
Practice Address - Phone:330-297-7009
Practice Address - Fax:330-297-0901
Is Sole Proprietor?:No
Enumeration Date:2008-01-25
Last Update Date:2008-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-0225351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice