1386984151 NPI number — SE,COM,SA

Table of content: (NPI 1386984151)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386984151 NPI number — SE,COM,SA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SE,COM,SA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
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:
1386984151
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/15/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
EUROVILLAGE COMPOUND, AL KHOBAR, EASTERN PROVINCE, 3193
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAUDI ARABIA
Provider Business Mailing Address State Name:
EUROVILLAGE COMPOUND, AL KHOBAR, EASTERN
Provider Business Mailing Address Postal Code:
19050
Provider Business Mailing Address Country Code:
SA
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
EUROVILLAGE COMPOUND, AL KHOBAR, EASTERN PROVINCE, 3193
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAUDI ARABIA
Provider Business Practice Location Address State Name:
EUROVILLAGE COMPOUND, AL KHOBAR, EASTERN
Provider Business Practice Location Address Postal Code:
19050
Provider Business Practice Location Address Country Code:
SA
Provider Business Practice Location Address Telephone Number:
0096675424588
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/15/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
AL SSAGOOR
Authorized Official First Name:
ALI
Authorized Official Middle Name:
AHMAD
Authorized Official Title or Position:
19050
Authorized Official Telephone Number:
00966543458682

Provider Taxonomy Codes

  • Taxonomy code: 281P00000X , with the licence number:  1036234605 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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