Healthcare Provider Details

I. General information

NPI: 1114854056
Provider Name (Legal Business Name): BILAL ADUS-SALAAM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5201 CONNECTICUT AVE NW APT 409
WASHINGTON DC
20015-1858
US

IV. Provider business mailing address

2323 MARTIN LUTHER KING JR AVE SE
WASHINGTON DC
20020-5868
US

V. Phone/Fax

Practice location:
  • Phone: 202-525-5207
  • Fax:
Mailing address:
  • Phone: 804-219-7037
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: