Provider Demographics
NPI:1477278513
Name:AMATULLAHSALAAM-SALAAM, AAKEELA
Entity Type:Individual
Prefix:
First Name:AAKEELA
Middle Name:
Last Name:AMATULLAHSALAAM-SALAAM
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 1:8075 READING RD STE 106
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45237-1408
Mailing Address - Country:US
Mailing Address - Phone:513-953-7053
Mailing Address - Fax:
Practice Address - Street 1:8075 READING RD STE 106
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45237-1408
Practice Address - Country:US
Practice Address - Phone:513-953-7053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-11
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide