Basic Information
Provider Information
NPI: 1790373256
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ABDI
FirstName: SIHAM
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7473 COLLINS MEADE WAY
Address2:  
City: ALEXANDRIA
State: VA
PostalCode: 223155254
CountryCode: US
TelephoneNumber: 6144329823
FaxNumber:  
Practice Location
Address1: 3020 14TH ST NW
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200096865
CountryCode: US
TelephoneNumber: 2024694699
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/09/2021
LastUpdateDate: 01/20/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/20/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
176B00000X236166CAN Other Service ProvidersMidwife 
176B00000XCNM200004782DCY Other Service ProvidersMidwife 

No ID Information.


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