Provider Demographics
NPI:1003395724
Name:ABDI, HODAN
Entity Type:Individual
Prefix:
First Name:HODAN
Middle Name:
Last Name:ABDI
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 1:3022 JAVIER RD STE 110B
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-4646
Mailing Address - Country:US
Mailing Address - Phone:703-965-9162
Mailing Address - Fax:
Practice Address - Street 1:3022 JAVIER RD STE 110B
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4646
Practice Address - Country:US
Practice Address - Phone:703-965-9162
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-13
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide