Provider Demographics
NPI:1316405400
Name:MUHAMMAD, ADAM ABDALLAH (GED)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:ABDALLAH
Last Name:MUHAMMAD
Suffix:
Gender:M
Credentials:GED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3848 S CAPITOL ST SE APT 103
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-1416
Mailing Address - Country:US
Mailing Address - Phone:202-393-9859
Mailing Address - Fax:
Practice Address - Street 1:57 O ST NW # B1
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-1258
Practice Address - Country:US
Practice Address - Phone:301-531-0311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-07
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant