Provider Demographics
NPI:1700564374
Name:SALAHU-DIN, AMINA KORIN
Entity type:Individual
Prefix:
First Name:AMINA
Middle Name:KORIN
Last Name:SALAHU-DIN
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 1:8388 JACKIES DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45239-4232
Mailing Address - Country:US
Mailing Address - Phone:770-906-1186
Mailing Address - Fax:
Practice Address - Street 1:8388 JACKIES DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239-4232
Practice Address - Country:US
Practice Address - Phone:770-906-1186
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-05
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH402201360819374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide