Provider Demographics
NPI:1366773251
Name:AL SUWAIDI, JASSIM MOHAMMED (MD)
Entity type:Individual
Prefix:DR
First Name:JASSIM
Middle Name:MOHAMMED
Last Name:AL SUWAIDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7368
Mailing Address - Street 2:
Mailing Address - City:DOHA
Mailing Address - State:DOHA
Mailing Address - Zip Code:000000
Mailing Address - Country:QA
Mailing Address - Phone:001974-582-3041
Mailing Address - Fax:011974-439-2454
Practice Address - Street 1:HAMAD GENERAL HOSPITAL
Practice Address - Street 2:HAMAD GENERAL HOSPITAL
Practice Address - City:DOHA
Practice Address - State:DOHA
Practice Address - Zip Code:000000
Practice Address - Country:QA
Practice Address - Phone:001974-582-3041
Practice Address - Fax:011974-439-2454
Is Sole Proprietor?:No
Enumeration Date:2010-01-17
Last Update Date:2010-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN38386146D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant