Provider Demographics
NPI:1063459428
Name:AL-ALOU, AHMAD (MD)
Entity type:Individual
Prefix:DR
First Name:AHMAD
Middle Name:
Last Name:AL-ALOU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 501908
Mailing Address - Street 2:PMC BULIDING MIDDLE ROAD, GUALO RAI
Mailing Address - City:SAIPAN
Mailing Address - State:MP
Mailing Address - Zip Code:96950-1908
Mailing Address - Country:US
Mailing Address - Phone:670-233-8100
Mailing Address - Fax:670-233-8102
Practice Address - Street 1:BOX 501908, CHALAN KANOA
Practice Address - Street 2:PMC BUILDING, MIDDLE ROAD
Practice Address - City:SAIPAN
Practice Address - State:MP
Practice Address - Zip Code:96950-1908
Practice Address - Country:US
Practice Address - Phone:670-233-8100
Practice Address - Fax:670-233-8102
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MP114207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MP0000BDXTVMedicare ID - Type Unspecified
F69703Medicare UPIN