Provider Demographics
NPI:1003697780
Name:BILAL, ABDUL HAKIM
Entity type:Individual
Prefix:
First Name:ABDUL HAKIM
Middle Name:
Last Name:BILAL
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 1:3401 E MARSHALL ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-8011
Mailing Address - Country:US
Mailing Address - Phone:804-399-3495
Mailing Address - Fax:
Practice Address - Street 1:3401 E MARSHALL ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23223-8011
Practice Address - Country:US
Practice Address - Phone:804-399-3495
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-10
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician