1205599818 NPI number — DR. ALI MEKBEL ALDAHMASHI JR. MBBS

Table of content: DR. ALI MEKBEL ALDAHMASHI JR. MBBS (NPI 1205599818)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205599818 NPI number — DR. ALI MEKBEL ALDAHMASHI JR. MBBS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALDAHMASHI
Provider First Name:
ALI
Provider Middle Name:
MEKBEL
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
JR.
Provider Credential Text:
MBBS
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:
1205599818
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/18/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
03/29/2023
NPI Reactivation Date:
02/18/2026

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
22 S. GREENE STREET, BALTIMORE MD. 21201
Provider Second Line Business Mailing Address:
ROOM N3E09
Provider Business Mailing Address City Name:
BALTIMORE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21201
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-328-0152
Provider Business Mailing Address Fax Number:
410-328-0214

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
22 S. GREENE STREET
Provider Second Line Business Practice Location Address:
ROOM N3E09
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-328-6110
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/20/2021

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: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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