Healthcare Provider Details

I. General information

NPI: 1508019621
Provider Name (Legal Business Name): ZEYAD ALHARBI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/03/2008
Last Update Date: 07/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 PENNSYLVANIA AVE NW
WASHINGTON DC
20037-3201
US

IV. Provider business mailing address

1021 ARLINGTON BLVD APT 1108 RIVER PLACE APT
ARLINGTON VA
22209-2218
US

V. Phone/Fax

Practice location:
  • Phone: 202-994-3285
  • Fax: 202-994-1604
Mailing address:
  • Phone: 313-566-3169
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number239145
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: