Most Relevant Information
Provider Data
| NPI Number: | 1003593708 |
| Provider Name: | ALEX WALEED MOHAMMAD ALQUDAH MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | 15314 |
Most Important Dates
| Enumeration Date: | 07/03/2023 |
| Last Updated: | 07/04/2023 |
Provider Practice Location
720 WESTVIEW DR SW
ATLANTA
GA
303101458
Practice Location Phone/Fax
| Phone: | 4047561341 |
| Fax: |
Provider Mailing Location
505 COURTLAND ST NE APT 412
ATLANTA
GA
303082321
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |