Provider Demographics
NPI:1497223648
Name:AHMED, ABDI YUSUF
Entity Type:Individual
Prefix:
First Name:ABDI
Middle Name:YUSUF
Last Name:AHMED
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 KANTIAN DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-8113
Mailing Address - Country:US
Mailing Address - Phone:614-446-9714
Mailing Address - Fax:
Practice Address - Street 1:2700 KANTIAN DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-8113
Practice Address - Country:US
Practice Address - Phone:614-446-9714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-06
Last Update Date:2018-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide