Provider Demographics
NPI:1679395255
Name:ALOTAIBI, FAHAD SAUD (MD)
Entity type:Individual
Prefix:
First Name:FAHAD
Middle Name:SAUD
Last Name:ALOTAIBI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:834 CHESTNUT ST APT 717
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-5138
Mailing Address - Country:US
Mailing Address - Phone:215-470-4447
Mailing Address - Fax:
Practice Address - Street 1:909 WALNUT ST FL 3
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-5211
Practice Address - Country:US
Practice Address - Phone:215-503-7008
Practice Address - Fax:215-503-2452
Is Sole Proprietor?:No
Enumeration Date:2024-10-25
Last Update Date:2024-10-25
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Provider Licenses
StateLicense IDTaxonomies
PALT001035207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery