Healthcare Provider Details

I. General information

NPI: 1265341705
Provider Name (Legal Business Name): ABDIRAZAK ABDULLAHI DHIMBIL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8355 ROCKVILLE RD UNIT 31
INDIANAPOLIS IN
46234-2722
US

IV. Provider business mailing address

8355 ROCKVILLE RD UNIT 31
INDIANAPOLIS IN
46234-2722
US

V. Phone/Fax

Practice location:
  • Phone: 859-486-7186
  • Fax:
Mailing address:
  • Phone: 859-486-7186
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: