Individual provider · NPI-1
Ishmael Abdul-Rahman
Case Manager/Care Coordinator · Worthington, OH
NPI number1346893153
StatusActive
Last updated in NPPESJul 21, 2019
Details
- NPI
- 1346893153
- Entity type
- Individual (NPI-1)
- Name
- Ishmael Abdul-Rahman
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 21, 2019
- Last updated
- Jul 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 1710I1002X | Military Health Care Provider, Independent Duty Corpsman | – | – |
Practice location
445 E Dublin Granville Rd Ste GWorthington, OH 43085-3183
Phone 614-436-7837 · Fax 614-515-5779
Mailing address
445 E Dublin Granville RdWorthington, OH 43085-3192
Phone 614-436-7837
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