Provider Demographics
NPI:1598113003
Name:ALHARBI, AHMAD ALI (MD)
Entity Type:Individual
Prefix:DR
First Name:AHMAD
Middle Name:ALI
Last Name:ALHARBI
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 1:1115 N HOLLAND SYLVANIA RD
Mailing Address - Street 2:APT 1K
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-4395
Mailing Address - Country:US
Mailing Address - Phone:312-404-1115
Mailing Address - Fax:
Practice Address - Street 1:57 NORTH ST
Practice Address - Street 2:SUITE 311
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-5660
Practice Address - Country:US
Practice Address - Phone:203-743-0100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-25
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program