MEDICARE: MS. RABIYAH AMINA ABDUS-SALAAM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula		VA

General Provider Information

NPI Number	:	1811851991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. RABIYAH AMINA ABDUS-SALAAM

Provider Business Mailing Address
First Line	:	322 CHAPEL ST
Second Line	:
City	:	HAMPTON
State	:	VA
Zip	:	23669-4024
Country	:	US
Telephone Number	:	757-751-9424
Fax Number	:

Provider Business Practice Location Address
First Line	:	3333 STATION HOUSE RD.
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23321
Country	:	US
Telephone Number	:	757-751-9424
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2025
Last Update Date	:	12/12/2025

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