Healthcare Provider Details

I. General information

NPI: 1184008211
Provider Name (Legal Business Name): ABDULLAH ZAHI A ALQAHTANI M.D, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2015
Last Update Date: 12/15/2023
Certification Date: 12/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CENTER DR # 2B51
BETHESDA MD
20892-1716
US

IV. Provider business mailing address

10 CENTER DR # 2B51
BETHESDA MD
20892-0004
US

V. Phone/Fax

Practice location:
  • Phone: 301-496-4000
  • Fax:
Mailing address:
  • Phone: 301-496-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0008X
TaxonomyNeuromuscular Medicine (Psychiatry & Neurology) Physician
License Number35.135878
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number35.135878
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberD98474
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: