Provider Demographics
NPI:1265221725
Name:ABDI, ABDIRIZAK I
Entity type:Individual
Prefix:MS
First Name:ABDIRIZAK
Middle Name:I
Last Name:ABDI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1937 THACKERAY RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53704-2343
Mailing Address - Country:US
Mailing Address - Phone:608-910-2472
Mailing Address - Fax:
Practice Address - Street 1:1937 THACKERAY RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53704-2343
Practice Address - Country:US
Practice Address - Phone:608-910-2472
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-01
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WIPENDING372500000X, 372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No372500000XNursing Service Related ProvidersChore Provider