Provider Demographics
NPI:1851915110
Name:ADEN, MUHAMEDNUR H
Entity Type:Individual
Prefix:
First Name:MUHAMEDNUR
Middle Name:H
Last Name:ADEN
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 1:33 CLINTWOOD DR APT A
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-6525
Mailing Address - Country:US
Mailing Address - Phone:585-775-1623
Mailing Address - Fax:
Practice Address - Street 1:33 CLINTWOOD DR APT A
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-6525
Practice Address - Country:US
Practice Address - Phone:585-775-1623
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-02
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)