Provider Demographics
NPI:1932828589
Name:ALWAHAB MD INC
Entity type:Organization
Organization Name:ALWAHAB MD INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:AREEJ
Authorized Official - Middle Name:
Authorized Official - Last Name:ALWAHAB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:858-717-1757
Mailing Address - Street 1:250 E CHASE AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-6305
Mailing Address - Country:US
Mailing Address - Phone:619-499-5006
Mailing Address - Fax:
Practice Address - Street 1:250 E CHASE AVE STE 110
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-6305
Practice Address - Country:US
Practice Address - Phone:619-499-5006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALWAHAB MD INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-25
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty