Provider Demographics
NPI:1083309629
Name:AL SAIDI, IBRAHIM ZUHAIR YAHYA (MD)
Entity Type:Individual
Prefix:
First Name:IBRAHIM
Middle Name:ZUHAIR YAHYA
Last Name:AL SAIDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:JABER BIN HAYAN STREET APT #4
Mailing Address - Street 2:SHMEISANI APT #4
Mailing Address - City:AMMAN
Mailing Address - State:SHMEISSANI
Mailing Address - Zip Code:11194
Mailing Address - Country:JO
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:475 SEAVIEW AVENUE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10305
Practice Address - Country:US
Practice Address - Phone:718-226-8313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-10
Last Update Date:2023-11-30
Deactivation Date:2023-10-13
Deactivation Code:
Reactivation Date:2023-11-30
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program