Provider Demographics
NPI:1578739280
Name:AL-MARSHAD, ADEL ABDULRAHMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ADEL
Middle Name:ABDULRAHMAN
Last Name:AL-MARSHAD
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 1:2132 AVALON DR E
Mailing Address - Street 2:APT 2132
Mailing Address - City:ORANGE
Mailing Address - State:CT
Mailing Address - Zip Code:06477-3644
Mailing Address - Country:US
Mailing Address - Phone:202-352-7117
Mailing Address - Fax:
Practice Address - Street 1:20 YORK ST # T236
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06504-8900
Practice Address - Country:US
Practice Address - Phone:203-688-2259
Practice Address - Fax:203-688-5599
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-02
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program