Provider Demographics
NPI:1316360233
Name:TEBCHERANI, NAJAT
Entity Type:Individual
Prefix:
First Name:NAJAT
Middle Name:
Last Name:TEBCHERANI
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 1:975 CHALKER ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44310-1367
Mailing Address - Country:US
Mailing Address - Phone:330-329-3042
Mailing Address - Fax:
Practice Address - Street 1:975 CHALKER ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44310-1367
Practice Address - Country:US
Practice Address - Phone:330-329-3042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-28
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH42Medicaid