NURUDEEN DINTIE MAHAMA NP NPI 1992782007

NPI Information

NPI: 1992782007
Provider Name: NURUDEEN DINTIE MAHAMA, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
2400 S AVENUE A
24ONPHYSICIANS, P.C. HOSPITALIST GROUP
YUMA, AZ
ZIP 85364
Phone: (928) 336-3213
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Nurudeen Dintie Mahama, NP is an adult health nurse practitioner in Yuma, AZ with 22 years of experience. Nurudeen Dintie Mahama, NP NPI is 1992782007. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2400 S AVENUE A
24ONPHYSICIANS, P.C. HOSPITALIST GROUP
YUMA, AZ
ZIP 85364-127
Phone: (928) 336-3213
Fax: (928) 336-3215

The NPI 1992782007 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/29/2005 and was last updated on 9/2/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WG0600X	Registered Nurse	Gerontology	RN281904	OHIO	No
2	363LA2200X	Nurse Practitioner	Adult Health	NP07335	OHIO	No
3	363LA2200X	Nurse Practitioner	Adult Health	AP5554	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MANP13061	MEDICARE ID-TYPE UNSPECIFIED	OHIO
2	2407292	MEDICAID	OHIO
3	P89509	MEDICARE UPIN
4	MM3215933	OTHER		DEA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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