Provider Demographics
NPI:1427625417
Name:AL-DWAIRY, AHMAD FUAD (MBBS)
Entity type:Individual
Prefix:DR
First Name:AHMAD
Middle Name:FUAD
Last Name:AL-DWAIRY
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 RESERVOIR RD NW RM M2207
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-2113
Mailing Address - Country:US
Mailing Address - Phone:202-444-2855
Mailing Address - Fax:
Practice Address - Street 1:MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL
Practice Address - Street 2:3800 RESERVOIR RD NW, WASHINGTON, DC
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007
Practice Address - Country:US
Practice Address - Phone:202-444-2855
Practice Address - Fax:202-877-8288
Is Sole Proprietor?:No
Enumeration Date:2021-06-08
Last Update Date:2024-06-24
Deactivation Date:2022-12-01
Deactivation Code:
Reactivation Date:2022-12-19
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program