Provider Demographics
NPI:1679399497
Name:ALOTAIBI, ABDULWHAB MEJWAL
Entity type:Individual
Prefix:MR
First Name:ABDULWHAB
Middle Name:MEJWAL
Last Name:ALOTAIBI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ABDULLAH BIN AMR STREET, 7201
Mailing Address - Street 2:
Mailing Address - City:AL-KHARJ
Mailing Address - State:RIYADH
Mailing Address - Zip Code:11942
Mailing Address - Country:SA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:ABDULLAH BIN AMR STREET, 7201
Practice Address - Street 2:
Practice Address - City:AL-KHARJ
Practice Address - State:RIYADH
Practice Address - Zip Code:11942
Practice Address - Country:SA
Practice Address - Phone:966-115-8861
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-26
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program