Provider Demographics
NPI:1679008569
Name:AL-MSHHDANI, AYSER SAAD MAHMOOD (MD)
Entity type:Individual
Prefix:
First Name:AYSER
Middle Name:SAAD MAHMOOD
Last Name:AL-MSHHDANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AYSER
Other - Middle Name:
Other - Last Name:AL-MSHHDANI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:15349 CRESTVIEW CT
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-2238
Mailing Address - Country:US
Mailing Address - Phone:619-277-4678
Mailing Address - Fax:
Practice Address - Street 1:330 S MAGNOLIA AVE STE 101
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-5221
Practice Address - Country:US
Practice Address - Phone:619-277-4678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-27
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CAA172929207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
9036896OtherAMERICAN BOARD OF OBSTETRICS & GYNECOLOGY