1790635449 NPI number — DR. WISSAM SALIM SAIF AL MUGHEIRY M.D., FRCSC

Table of content: DR. WISSAM SALIM SAIF AL MUGHEIRY M.D., FRCSC (NPI 1790635449)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790635449 NPI number — DR. WISSAM SALIM SAIF AL MUGHEIRY M.D., FRCSC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
AL MUGHEIRY
Provider First Name:
WISSAM
Provider Middle Name:
SALIM SAIF
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D., FRCSC
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:
1790635449
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/02/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
20 BRUYERES MEWS
Provider Second Line Business Mailing Address:
TH3 (TOWNHOUSE 3)
Provider Business Mailing Address City Name:
TORONTO
Provider Business Mailing Address State Name:
ONTARIO
Provider Business Mailing Address Postal Code:
M5V 0G8
Provider Business Mailing Address Country Code:
CA
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:
399 BATHURST ST, TORONTO WESTERN HOSPITAL
Provider Second Line Business Practice Location Address:
DIVISION OF NEUROSURGERY 4TH FLOOR WEST WING
Provider Business Practice Location Address City Name:
TORONTO
Provider Business Practice Location Address State Name:
ONTARIO
Provider Business Practice Location Address Postal Code:
M5T 2S8
Provider Business Practice Location Address Country Code:
CA
Provider Business Practice Location Address Telephone Number:
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/02/2026

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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