Provider Demographics
NPI:1689970725
Name:ALRUWAISAN, MOHAMMED AHMED (MBBS)
Entity Type:Individual
Prefix:DR
First Name:MOHAMMED
Middle Name:AHMED
Last Name:ALRUWAISAN
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 TRENT DR
Mailing Address - Street 2:DUMC #3084, BAKER HOUSE 236
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-3037
Mailing Address - Country:US
Mailing Address - Phone:919-668-2591
Mailing Address - Fax:919-668-5547
Practice Address - Street 1:200 TRENT DR
Practice Address - Street 2:DUMC #3084, BAKER HOUSE 236
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-3037
Practice Address - Country:US
Practice Address - Phone:919-668-2591
Practice Address - Fax:919-668-5547
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-08
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program