Individual
KHIDHAR ABDULSHAKUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
712 MISSISSIPPI AVE SE, WASHINGTON, DC 20032-4135
(202) 812-7181
Mailing address
712 MISSISSIPPI AVE SE, WASHINGTON, DC 20032-4135
(202) 812-7181
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
2783091
DC
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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