Provider Demographics
NPI:1558131706
Name:IBRAHIM, HAWO MOHAMUD
Entity Type:Individual
Prefix:
First Name:HAWO
Middle Name:MOHAMUD
Last Name:IBRAHIM
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 1:53 EASTPOINTE RIDGE DR APT 225
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-1593
Mailing Address - Country:US
Mailing Address - Phone:614-962-5359
Mailing Address - Fax:
Practice Address - Street 1:53 EASTPOINTE RIDGE DR APT 225
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-1593
Practice Address - Country:US
Practice Address - Phone:614-962-5359
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker