Provider Demographics
NPI:1144180332
Name:MADHAT, SELENA
Entity type:Individual
Prefix:
First Name:SELENA
Middle Name:
Last Name:MADHAT
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 1:2841 ELLET AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44312-2758
Mailing Address - Country:US
Mailing Address - Phone:234-334-9591
Mailing Address - Fax:234-334-9591
Practice Address - Street 1:2841 ELLET AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44312-2758
Practice Address - Country:US
Practice Address - Phone:234-334-9591
Practice Address - Fax:234-334-9591
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-12
Last Update Date:2025-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHUH476037374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide