Provider Demographics
NPI:1366323628
Name:XABA, ADIA
Entity type:Individual
Prefix:
First Name:ADIA
Middle Name:
Last Name:XABA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 PERSHING DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4489
Mailing Address - Country:US
Mailing Address - Phone:202-274-6161
Mailing Address - Fax:
Practice Address - Street 1:1400 MAIN DR NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-2822
Practice Address - Country:US
Practice Address - Phone:202-808-9033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-11
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program