Saif Mokhalad Faeq Al-Mudares, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Jackson, MS
NPI 1073233276 · NPPES record last updated Oct 12, 2022
Key facts
- NPI
- 1073233276
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 2500 N State St
Jackson, MS 39216-4500 - Phone
- (601) 984-5102
- NPI assigned
- Aug 30, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
2500 N State St
Jackson, MS 39216-4500
Mailing address
2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-5102
Other providers in Jackson, MS
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- Israh Akhtar
- Jameson Michael Akins
- Shanetta Akins
- Youssef Al Hmada
- Oscar Alberto Alam Mendez
- Vilakshan Alambyan
- Danielle Albert
- John Mark Albrecht
- Svenja J. Albrecht
All providers in Jackson, MS · Student in an Organized Health Care Education/Training Program in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.