Provider Demographics
NPI:1801151071
Name:M HUSSAM ALAYOUBI MD PA
Entity type:Organization
Organization Name:M HUSSAM ALAYOUBI MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MUHAMMED
Authorized Official - Middle Name:HUSSAM
Authorized Official - Last Name:ALAYOUBI
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PA
Authorized Official - Phone:954-590-2660
Mailing Address - Street 1:5901 COLONIAL DR
Mailing Address - Street 2:SUITE 208
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-5675
Mailing Address - Country:US
Mailing Address - Phone:954-590-2660
Mailing Address - Fax:954-590-2677
Practice Address - Street 1:5901 COLONIAL DR
Practice Address - Street 2:SUITE 208
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-5675
Practice Address - Country:US
Practice Address - Phone:954-590-2660
Practice Address - Fax:954-590-2677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-12
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 70945207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty