Provider Demographics
NPI:1780419788
Name:ABDI, SULAKHA MOHAMED (RN)
Entity type:Individual
Prefix:
First Name:SULAKHA
Middle Name:MOHAMED
Last Name:ABDI
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5622 COLUMBIA PIKE STE 307B
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22041-2718
Mailing Address - Country:US
Mailing Address - Phone:571-331-6328
Mailing Address - Fax:571-347-7177
Practice Address - Street 1:5622 COLUMBIA PIKE STE 307B
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22041-2718
Practice Address - Country:US
Practice Address - Phone:571-331-6328
Practice Address - Fax:571-347-7177
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-09
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
VAHCO-0005728251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health