Provider Demographics
NPI:1508656653
Name:ALZUGHAYYAR, TAREQ ZYAD ISHAQ (MD)
Entity type:Individual
Prefix:
First Name:TAREQ
Middle Name:ZYAD ISHAQ
Last Name:ALZUGHAYYAR
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:QATAR DOHA ZONE 39 STREET 955 AREA 11 DANT ALSAD HOTEL
Mailing Address - Street 2:
Mailing Address - City:DOHA
Mailing Address - State:QATAR
Mailing Address - Zip Code:00000
Mailing Address - Country:QA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2100 W. CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606
Practice Address - Country:US
Practice Address - Phone:567-420-1600
Practice Address - Fax:419-283-3684
Is Sole Proprietor?:No
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program