Healthcare Provider Details

I. General information

NPI: 1811851991
Provider Name (Legal Business Name): MS. RABIYAH AMINA ABDUS-SALAAM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 STATION HOUSE RD.
CHESAPEAKE VA
23321
US

IV. Provider business mailing address

322 CHAPEL ST
HAMPTON VA
23669-4024
US

V. Phone/Fax

Practice location:
  • Phone: 757-751-9424
  • Fax:
Mailing address:
  • Phone: 757-751-9424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: