Most Relevant Information
Provider Data
| NPI Number: | 1003222118 |
| Provider Name: | MOHANNED SALEH ALSUHAIBANI M.B.B.S |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/09/2014 |
| Last Updated: | 07/09/2014 |
Provider Practice Location
22 S GREENE ST
DEPARTMENT OF DIAGNOSTIC RADIOLOGY & NUCLEAR MEDICINE
BALTIMORE
MD
212011544
Practice Location Phone/Fax
| Phone: | 4103283477 |
| Fax: | 4103280641 |
Provider Mailing Location
777 S EDEN ST
BALTIMORE
MD
212313362
Provider Mailing Phone/Fax
| Phone: | 4108121914 |
| Fax: |