Healthcare Provider Details
I. General information
NPI: 1326478421
Provider Name (Legal Business Name): SALEH ABDULRAHMAN ALNASSER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/26/2013
Last Update Date: 10/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1650 CEDAR AVE. # L9.424 MONTREAL GENERAL HOSPITAL
MONTREAL QC
H36 1A4
CA
IV. Provider business mailing address
859 DE LA COMMUNE EAST APT 503
MONTREAL QC
H2L 0B9
CA
V. Phone/Fax
- Phone: 15148431532
- Fax: 15148431472
- Phone: 15149944222
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: