Provider Demographics
NPI:1356236756
Name:ABUJULAYDAH, MOHAMMED AHMED ALI (MD)
Entity type:Individual
Prefix:
First Name:MOHAMMED
Middle Name:AHMED ALI
Last Name:ABUJULAYDAH
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 1:3601 4TH STREET
Mailing Address - Street 2:
Mailing Address - City:LOBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79430
Mailing Address - Country:US
Mailing Address - Phone:806-743-6840
Mailing Address - Fax:806-743-3143
Practice Address - Street 1:3601 4TH STREET
Practice Address - Street 2:
Practice Address - City:LOBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79430
Practice Address - Country:US
Practice Address - Phone:806-743-6840
Practice Address - Fax:806-743-3143
Is Sole Proprietor?:No
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program