Provider Demographics
NPI:1659140424
Name:MOHSEN AL-SIBAI, MOHAMMED ATEF (MD)
Entity Type:Individual
Prefix:
First Name:MOHAMMED ATEF
Middle Name:
Last Name:MOHSEN AL-SIBAI
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 1:21 BUTTONWOOD RD
Mailing Address - Street 2:
Mailing Address - City:NORTON
Mailing Address - State:MA
Mailing Address - Zip Code:02766-1542
Mailing Address - Country:US
Mailing Address - Phone:617-650-0890
Mailing Address - Fax:
Practice Address - Street 1:8313 KING ABDUL AZIZ ROAD
Practice Address - Street 2:AN-NAHDAH DISTRICT
Practice Address - City:JEDDAH
Practice Address - State:MAKKAH REGION
Practice Address - Zip Code:23523
Practice Address - Country:SA
Practice Address - Phone:050-004-3538
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-21
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD23279208600000X
KS19291208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery