Provider Demographics
NPI:1619508835
Name:ABED ALI, HUSSIN
Entity Type:Individual
Prefix:
First Name:HUSSIN
Middle Name:
Last Name:ABED ALI
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 1:1907 WOODMAN CT APT C
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-2923
Mailing Address - Country:US
Mailing Address - Phone:804-554-6914
Mailing Address - Fax:
Practice Address - Street 1:1907 WOODMAN CT APT C
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23060-2923
Practice Address - Country:US
Practice Address - Phone:804-554-6914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-27
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)