Provider Demographics
NPI:1043900806
Name:ABDI, BILLE ALI
Entity type:Individual
Prefix:
First Name:BILLE
Middle Name:ALI
Last Name:ABDI
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 1:633 CUMBERLAND POINTE CIR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-5489
Mailing Address - Country:US
Mailing Address - Phone:603-892-0356
Mailing Address - Fax:
Practice Address - Street 1:633 CUMBERLAND POINTE CIR
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-5489
Practice Address - Country:US
Practice Address - Phone:603-892-0356
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA680936013747A0650X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider