Provider Demographics
NPI:1467693549
Name:AHMAD, RAHIMAH (RN)
Entity Type:Individual
Prefix:
First Name:RAHIMAH
Middle Name:
Last Name:AHMAD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 HARRIS ST
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:OH
Mailing Address - Zip Code:44240-3736
Mailing Address - Country:US
Mailing Address - Phone:330-673-0295
Mailing Address - Fax:
Practice Address - Street 1:308 HARRIS ST
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:OH
Practice Address - Zip Code:44240-3736
Practice Address - Country:US
Practice Address - Phone:330-673-0295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-18
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN . 346098163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHKSUNURSEMedicaid