Provider Demographics
NPI:1831950575
Name:BIDJADA, ABIRE LALALAKIWE (MD)
Entity type:Individual
Prefix:
First Name:ABIRE
Middle Name:LALALAKIWE
Last Name:BIDJADA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1922 VALLEY TER SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-4626
Mailing Address - Country:US
Mailing Address - Phone:202-855-0572
Mailing Address - Fax:
Practice Address - Street 1:1922 VALLEY TER SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-4626
Practice Address - Country:US
Practice Address - Phone:202-855-0572
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-19
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC3747P1801X
3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty