Provider Demographics
NPI:1912572033
Name:ALZAHRANI, NUJOOD ABDULWAHED Y (MBBS)
Entity Type:Individual
Prefix:MS
First Name:NUJOOD
Middle Name:ABDULWAHED Y
Last Name:ALZAHRANI
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1525 CLIFTON ROAD
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322
Mailing Address - Country:US
Mailing Address - Phone:404-727-3669
Mailing Address - Fax:404-712-4920
Practice Address - Street 1:1525 CLIFTON ROAD
Practice Address - Street 2:3RD FLOOR
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322
Practice Address - Country:US
Practice Address - Phone:404-727-3669
Practice Address - Fax:404-712-4920
Is Sole Proprietor?:No
Enumeration Date:2021-05-21
Last Update Date:2022-11-08
Deactivation Date:2022-10-05
Deactivation Code:
Reactivation Date:2022-10-13
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program