Provider Demographics
NPI:1740600907
Name:ALKHUZIEM, MAHA (MD)
Entity Type:Individual
Prefix:
First Name:MAHA
Middle Name:
Last Name:ALKHUZIEM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 W ARBOR DR
Mailing Address - Street 2:MC XXXX
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-9000
Mailing Address - Country:US
Mailing Address - Phone:619-471-3859
Mailing Address - Fax:519-543-3017
Practice Address - Street 1:1801 N SENATE AVE # MPC23340
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202
Practice Address - Country:US
Practice Address - Phone:317-274-7105
Practice Address - Fax:317-274-2940
Is Sole Proprietor?:No
Enumeration Date:2014-04-25
Last Update Date:2021-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program