Provider Demographics
NPI:1629817507
Name:SAMHAN, YOUSEF
Entity type:Individual
Prefix:
First Name:YOUSEF
Middle Name:
Last Name:SAMHAN
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 1:5444 FENWICK AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45212-1108
Mailing Address - Country:US
Mailing Address - Phone:937-222-1222
Mailing Address - Fax:
Practice Address - Street 1:5444 FENWICK AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45212-1108
Practice Address - Country:US
Practice Address - Phone:937-222-1222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-21
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)