Provider Demographics
NPI:1093567141
Name:QUTAISH, OSAMA DAHOD (MD)
Entity Type:Individual
Prefix:DR
First Name:OSAMA
Middle Name:DAHOD
Last Name:QUTAISH
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 1:2019 LAUREL PARK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78260-2419
Mailing Address - Country:US
Mailing Address - Phone:737-704-6155
Mailing Address - Fax:
Practice Address - Street 1:2019 LAUREL PARK
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78260-2419
Practice Address - Country:US
Practice Address - Phone:737-704-6155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-03
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program