Provider Demographics
NPI:1659529253
Name:ALHARIRI, JIHAD MOHAMAD (MD)
Entity Type:Individual
Prefix:DR
First Name:JIHAD
Middle Name:MOHAMAD
Last Name:ALHARIRI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JIHAD MOHAMAD
Other - Middle Name:N
Other - Last Name:AL YASSINE AL HARIRI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:4940 EASTERN AVE
Mailing Address - Street 2:MFL TOWER SUITE 2500 - DERMATOLOGY
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-2735
Mailing Address - Country:US
Mailing Address - Phone:410-550-4724
Mailing Address - Fax:
Practice Address - Street 1:4940 EASTERN AVE
Practice Address - Street 2:MFL TOWER SUITE 2500 - DERMATOLOGY
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-2735
Practice Address - Country:US
Practice Address - Phone:410-550-4724
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-08
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0057987207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology