Provider Demographics
NPI:1326425166
Name:ABDULLAH, NAJMAH
Entity Type:Individual
Prefix:
First Name:NAJMAH
Middle Name:
Last Name:ABDULLAH
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 1:1929 COLISEUM DR STE K
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-4245
Mailing Address - Country:US
Mailing Address - Phone:757-310-9530
Mailing Address - Fax:757-224-4910
Practice Address - Street 1:1929 COLISEUM DR STE K
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-4245
Practice Address - Country:US
Practice Address - Phone:757-310-9530
Practice Address - Fax:757-224-4910
Is Sole Proprietor?:No
Enumeration Date:2015-04-30
Last Update Date:2018-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2429101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1609254846Medicaid