Provider Demographics
NPI:1801617741
Name:ATTO, ABDINASIR MOHAMUD
Entity type:Individual
Prefix:MR
First Name:ABDINASIR
Middle Name:MOHAMUD
Last Name:ATTO
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:PO BOX 332
Mailing Address - Street 2:
Mailing Address - City:LEWIS CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:43035-0332
Mailing Address - Country:US
Mailing Address - Phone:614-949-9967
Mailing Address - Fax:
Practice Address - Street 1:3587 ASHRIDGE ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-6204
Practice Address - Country:US
Practice Address - Phone:614-949-9967
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3334HHN253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care