Provider Demographics
NPI:1376058826
Name:SALEEM, KHADIJAH (CD, CBS)
Entity Type:Individual
Prefix:
First Name:KHADIJAH
Middle Name:
Last Name:SALEEM
Suffix:
Gender:F
Credentials:CD, CBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 FORT DAVIS ST SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-1044
Mailing Address - Country:US
Mailing Address - Phone:202-489-3356
Mailing Address - Fax:
Practice Address - Street 1:1701 FORT DAVIS ST SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-1044
Practice Address - Country:US
Practice Address - Phone:202-907-5642
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-06
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No374J00000XNursing Service Related ProvidersDoula