Provider Demographics
NPI:1255701520
Name:HASSAN, MOHAMED CABDI (MPH)
Entity type:Individual
Prefix:
First Name:MOHAMED
Middle Name:CABDI
Last Name:HASSAN
Suffix:
Gender:M
Credentials:MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1925 E DUBLIN GRANVILLE RD STE 228
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-3517
Mailing Address - Country:US
Mailing Address - Phone:614-754-6773
Mailing Address - Fax:
Practice Address - Street 1:1925 E DUBLIN GRANVILLE RD STE 228
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-3517
Practice Address - Country:US
Practice Address - Phone:614-754-6773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-30
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No171R00000XOther Service ProvidersInterpreter
No172V00000XOther Service ProvidersCommunity Health Worker