Gubran Ahmed
Individual provider Active NPI Home Health Aide · Fairlawn, OH
NPI 1104501923 · NPPES record last updated Jun 19, 2023
Key facts
- NPI
- 1104501923
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 3576 Torrey Pines Dr
Fairlawn, OH 44333-9274 - Phone
- (330) 622-3477
- NPI assigned
- Jun 19, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | |||
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
3576 Torrey Pines Dr
Fairlawn, OH 44333-9274
Mailing address
3576 Torrey Pines Dr
Fairlawn, OH 44333-9274
Phone (330) 622-3477
Other providers in Fairlawn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.