Provider Demographics
NPI:1578561643
Name:ABUBAKAR, MOHAMMED KABIR
Entity Type:Individual
Prefix:
First Name:MOHAMMED
Middle Name:KABIR
Last Name:ABUBAKAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5255 LOUGHBORO RD NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-2633
Mailing Address - Country:US
Mailing Address - Phone:202-444-8569
Mailing Address - Fax:202-444-4747
Practice Address - Street 1:5255 LOUGHBORO RD NW
Practice Address - Street 2:SIBLEY MEMORIAL HOSPITAL
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-2695
Practice Address - Country:US
Practice Address - Phone:202-444-8569
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC306582080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC029614700Medicaid
160049079OtherMEDICARE RAILROAD
MD660304100Medicaid
VA6703569Medicaid
DCG77573Medicare UPIN
DC000T03G65Medicare PIN