Individual provider · NPI-1

Mohamed Adan

Driver · Columbus, OH

NPI number1346874401
StatusActive
Last updated in NPPESFeb 27, 2020

Details

NPI
1346874401
Entity type
Individual (NPI-1)
Name
Mohamed Adan
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 27, 2020
Certification date
Feb 27, 2020
Last updated
Feb 27, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172A00000X Driver––Yes

Practice location

2162 Fitzroy Dr Apt B7
Columbus, OH 43224-1523

Phone 614-369-7005

Mailing address

2162 Fitzroy Dr Apt B7
Columbus, OH 43224-1523

Phone 614-369-7005

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