Provider Demographics
NPI:1154005445
Name:AL SHRAAH, MUSAB MAHMOUD
Entity type:Individual
Prefix:MR
First Name:MUSAB
Middle Name:MAHMOUD
Last Name:AL SHRAAH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 RINALDI BLVD APT 7B
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-2911
Mailing Address - Country:US
Mailing Address - Phone:845-337-2161
Mailing Address - Fax:
Practice Address - Street 1:50 RINALDI BLVD APT 7B
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-2911
Practice Address - Country:US
Practice Address - Phone:845-337-2161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-15
Last Update Date:2023-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle