MEDICARE: MOTAZ ABDULRAHMAN ALAQEEL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	297768	NY

General Provider Information

NPI Number	:	1316594237
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOTAZ ABDULRAHMAN ALAQEEL

Provider Business Mailing Address
First Line	:	504 E 63RD ST APT 6S
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10065-7912
Country	:	US
Telephone Number	:	929-291-8585
Fax Number	:

Provider Business Practice Location Address
First Line	:	504 E 63RD ST APT 6S
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10065-7912
Country	:	US
Telephone Number	:	929-291-8585
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2019
Last Update Date	:	08/26/2019

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