1609193564 NPI number — DR. ASAAD A. AL-ASAAD MD

Table of content: DR. ASAAD A. AL-ASAAD MD (NPI 1609193564)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609193564 NPI number — DR. ASAAD A. AL-ASAAD MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
AL-ASAAD
Provider First Name:
ASAAD
Provider Middle Name:
A.
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1609193564
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/30/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10 HIND BINT OTBA STREET
Provider Second Line Business Mailing Address:
PO BOX 250012
Provider Business Mailing Address City Name:
RIYADH
Provider Business Mailing Address State Name:
CENTRAL
Provider Business Mailing Address Postal Code:
11391
Provider Business Mailing Address Country Code:
SA
Provider Business Mailing Address Telephone Number:
966504264695
Provider Business Mailing Address Fax Number:
96614631411

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
RIYADH CARE HOSPITAL - ONAIZA STREET
Provider Second Line Business Practice Location Address:
RAWABI
Provider Business Practice Location Address City Name:
RIYADH
Provider Business Practice Location Address State Name:
CENTRAL
Provider Business Practice Location Address Postal Code:
11541
Provider Business Practice Location Address Country Code:
SA
Provider Business Practice Location Address Telephone Number:
966504264695
Provider Business Practice Location Address Fax Number:
96614631411
Provider Enumeration Date:
04/30/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X , with the licence number:  155356 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)