Provider Demographics
NPI:1184924672
Name:ADEM, MUNA A
Entity type:Individual
Prefix:
First Name:MUNA
Middle Name:A
Last Name:ADEM
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 1:2703 E TOWER DR APT 311
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45238-2650
Mailing Address - Country:US
Mailing Address - Phone:513-373-2647
Mailing Address - Fax:
Practice Address - Street 1:2703 E TOWER DR APT 311
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45238-2650
Practice Address - Country:US
Practice Address - Phone:513-373-2647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-30
Last Update Date:2010-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH400346790404374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide