Provider Demographics
NPI:1518484112
Name:HANDULEH, HUSSEIN JAMA
Entity Type:Individual
Prefix:
First Name:HUSSEIN
Middle Name:JAMA
Last Name:HANDULEH
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 1:2518 COUNTRY RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-7841
Mailing Address - Country:US
Mailing Address - Phone:614-216-6006
Mailing Address - Fax:
Practice Address - Street 1:2518 COUNTRY RIDGE DR
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-7841
Practice Address - Country:US
Practice Address - Phone:614-216-6006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)