Provider Demographics
NPI:1033070297
Name:ABDULLAHI, ABDULAZIZ A
Entity type:Individual
Prefix:
First Name:ABDULAZIZ
Middle Name:A
Last Name:ABDULLAHI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1004 E 17TH ST APT 122
Mailing Address - Street 2:
Mailing Address - City:SOUTH SIOUX CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68776-2584
Mailing Address - Country:US
Mailing Address - Phone:531-541-2354
Mailing Address - Fax:
Practice Address - Street 1:1004 E 17TH ST APT 122
Practice Address - Street 2:
Practice Address - City:SOUTH SIOUX CITY
Practice Address - State:NE
Practice Address - Zip Code:68776-2584
Practice Address - Country:US
Practice Address - Phone:531-541-2354
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-18
Last Update Date:2025-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant