Provider Demographics
NPI:1790405827
Name:MUHAMMAD, MARYAM
Entity type:Individual
Prefix:
First Name:MARYAM
Middle Name:
Last Name:MUHAMMAD
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 N MICHIGAN ST STE D6
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-5646
Mailing Address - Country:US
Mailing Address - Phone:567-420-5570
Mailing Address - Fax:
Practice Address - Street 1:421 N MICHIGAN ST STE D6
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43604-5646
Practice Address - Country:US
Practice Address - Phone:567-420-5570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-30
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No374U00000XNursing Service Related ProvidersHome Health Aide