Basic Information
Provider Information
NPI: 1952046278
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AHMED
FirstName: ALAA
MiddleName: AHMED ABDALLAH
NamePrefix: MRS.
NameSuffix:  
Credential: MBBCH
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: CITY CENTER, 23 JULY ROAD
Address2:  
City: SALALAH
State: SULTANATE OF OMAN
PostalCode: 00211
CountryCode: OM
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 2601 HOLME AVENUE NAZARETH HOSPITAL - TY RESIDENCY PROG
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 19152
CountryCode: US
TelephoneNumber: 2153356000
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/02/2022
LastUpdateDate: 05/09/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/09/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  Y Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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