Provider Demographics
NPI:1679399034
Name:MOHABEER, INDIRA
Entity type:Individual
Prefix:
First Name:INDIRA
Middle Name:
Last Name:MOHABEER
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 1:1401 NEW YORK AVE NE APT 326
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-1788
Mailing Address - Country:US
Mailing Address - Phone:347-543-2825
Mailing Address - Fax:
Practice Address - Street 1:1401 NEW YORK AVE NE APT 326
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-1788
Practice Address - Country:US
Practice Address - Phone:347-543-2825
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional