MEDICARE: ALI ABDI

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	172A00000X	Driver	B69607476	VA

General Provider Information

NPI Number	:	1952059248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALI ABDI

Provider Business Mailing Address
First Line	:	3536 CARLIN SPRINGS RD STE 12
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22041-3003
Country	:	US
Telephone Number	:	202-848-6203
Fax Number	:

Provider Business Practice Location Address
First Line	:	3536 CARLIN SPRINGS RD STE 12
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22041-3003
Country	:	US
Telephone Number	:	202-848-6203
Fax Number	:

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

Provider Enumeration Date	:	03/15/2022
Last Update Date	:	03/15/2022

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Directions to “ ALI ABDI ” Practice Location

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