Provider Demographics
NPI:1548986110
Name:ALABOUDI, JAHAD RAHIM
Entity type:Individual
Prefix:
First Name:JAHAD
Middle Name:RAHIM
Last Name:ALABOUDI
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 1:2020 REILLY RUN UNIT I
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-9073
Mailing Address - Country:US
Mailing Address - Phone:573-315-8295
Mailing Address - Fax:
Practice Address - Street 1:2020 REILLY RUN UNIT I
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-9073
Practice Address - Country:US
Practice Address - Phone:573-315-8295
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-17
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide