Provider Demographics
NPI:1457084113
Name:AL-AMOOD, MEHDI QAIES
Entity Type:Individual
Prefix:
First Name:MEHDI
Middle Name:QAIES
Last Name:AL-AMOOD
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 1:2714 N PLUMTHICKET ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67226-2152
Mailing Address - Country:US
Mailing Address - Phone:316-712-2356
Mailing Address - Fax:
Practice Address - Street 1:1320 S DIXIE HWY, CORAL GABLES, FL 33146
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33146
Practice Address - Country:US
Practice Address - Phone:305-284-2211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-08
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer