Healthcare Provider Details

I. General information

NPI: 1871913475
Provider Name (Legal Business Name): DEEMA ALJEAID
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2014
Last Update Date: 11/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PRINCE MAJID RD, AL SULAYMANIYAH
JEDDAH MAKKAH
22252
SA

IV. Provider business mailing address

PRINCE MAJID RD, AL SULAYMANIYAH
JEDDAH MAKKAH
22252
SA

V. Phone/Fax

Practice location:
  • Phone: 966-126-4082
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: