Provider Demographics
NPI:1255690293
Name:ALDOSARI, MOHAMMED SAEED (MD)
Entity Type:Individual
Prefix:
First Name:MOHAMMED
Middle Name:SAEED
Last Name:ALDOSARI
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:PO BOX 1475
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50305-1475
Mailing Address - Country:US
Mailing Address - Phone:515-271-6300
Mailing Address - Fax:515-271-6311
Practice Address - Street 1:411 LAUREL ST
Practice Address - Street 2:SUITE 3310
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50314-3017
Practice Address - Country:US
Practice Address - Phone:515-271-6300
Practice Address - Fax:515-271-6311
Is Sole Proprietor?:No
Enumeration Date:2012-05-11
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA40237208000000X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry