Provider Demographics
NPI:1932098571
Name:RIOUS, AISHA FATIMA (ASSOCIATES DEGREE)
Entity type:Individual
Prefix:
First Name:AISHA
Middle Name:FATIMA
Last Name:RIOUS
Suffix:
Gender:F
Credentials:ASSOCIATES DEGREE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17932 HILLGROVE AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44119-2024
Mailing Address - Country:US
Mailing Address - Phone:216-776-9109
Mailing Address - Fax:216-776-9109
Practice Address - Street 1:17932 HILLGROVE AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44119-2024
Practice Address - Country:US
Practice Address - Phone:216-776-9109
Practice Address - Fax:216-776-9109
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor