Provider Demographics
NPI:1376130906
Name:AHMED, MAARIYAH
Entity type:Individual
Prefix:MISS
First Name:MAARIYAH
Middle Name:
Last Name:AHMED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6549 HERITAGE CLUB DR APT SUITE
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-4647
Mailing Address - Country:US
Mailing Address - Phone:513-608-9958
Mailing Address - Fax:
Practice Address - Street 1:6549 HERITAGE CLUB DR APT SUITE
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-4647
Practice Address - Country:US
Practice Address - Phone:513-608-9958
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-29
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide