Provider Demographics
NPI:1972291920
Name:AL HEYASAT, AMMAR NASER (MD)
Entity type:Individual
Prefix:
First Name:AMMAR
Middle Name:NASER
Last Name:AL HEYASAT
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:BEHIND CIVIL DEFENCE MAIN BRANCH OPPOSITE UMNIAH MAIN O
Mailing Address - Street 2:ABDUL RAHIM AL-WAKED STREET BUILDING #27
Mailing Address - City:AL SHUMAYSAN AMMAN
Mailing Address - State:AMMAN
Mailing Address - Zip Code:11194
Mailing Address - Country:JO
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 HOSPITAL DRIVE SOUTHWEST
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801
Practice Address - Country:US
Practice Address - Phone:938-227-6247
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-27
Last Update Date:2024-02-29
Deactivation Date:2023-11-30
Deactivation Code:
Reactivation Date:2024-02-29
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program