| Doctor Name: | ABDUL SAMAD MUKATI |
| NPI Number: | 1679699656 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CCC-SLP |
| License Number: | 2202004840 |
| Business Practice Address: | 7124 Leesburg Pike Falls Church, VA - 220432309 |
| Business Phone Number: | 7032485500 |
| Business Fax Number: | |
| Mailing Address: | 210 E Fairfax St Apt 224, # 224 FALLS CHURCH |
| State: | VA |
| Postal Code: | 220462907 |
| Phone Number: | 7032258065 |
| Fax Number: | |
| NPI Enumeration Date: | 03/22/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2202004840 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |