Provider Demographics
NPI:1518712157
Name:ALKAYYALI, MONA SUBHI (MB BCH BAO)
Entity Type:Individual
Prefix:DR
First Name:MONA
Middle Name:SUBHI
Last Name:ALKAYYALI
Suffix:
Gender:F
Credentials:MB BCH BAO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MEDSTAR UNION MEMORIAL HOSPITAL
Mailing Address - Street 2:201 E. UNIVERSITY PARKWAY, DEPARTMENT OF INTERNAL MEDIC
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218
Mailing Address - Country:US
Mailing Address - Phone:410-554-2284
Mailing Address - Fax:410-554-2184
Practice Address - Street 1:MEDSTAR UNION MEMORIAL HOSPITAL
Practice Address - Street 2:201 E. UNIVERSITY PARKWAY, DEPARTMENT OF INTERNAL MEDIC
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218
Practice Address - Country:US
Practice Address - Phone:410-554-2284
Practice Address - Fax:410-554-2184
Is Sole Proprietor?:No
Enumeration Date:2024-04-18
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program