Provider Demographics
NPI:1043034432
Name:MUSAH, GAMEL ABUBAKAR
Entity type:Individual
Prefix:
First Name:GAMEL
Middle Name:ABUBAKAR
Last Name:MUSAH
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 1:3874 PAXTON AVE UNIT 9732
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45209-7530
Mailing Address - Country:US
Mailing Address - Phone:513-633-1977
Mailing Address - Fax:
Practice Address - Street 1:3874 PAXTON AVE UNIT 9732
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45209-7530
Practice Address - Country:US
Practice Address - Phone:513-633-1977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-12
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH400673961007374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide