Mohammed Alharbi
Individual provider Active NPI Anesthesiology Physician · Cupertino, CA
NPI 1235529694 · NPPES record last updated Jan 23, 2015
Key facts
- NPI
- 1235529694
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- C55777 (CA)
- Practice address
- 21917 Gardenview LN
Cupertino, CA 95014-1131 - Phone
- (408) 899-6016
- NPI assigned
- Jan 23, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C55777 | CA | MD | Anesthesiology Physician |
| MA67642 | NJ | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perioperative Medicine and Anesthesia PC | Anesthesiology | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MA67642 | NJ | |
| Anesthesiology Physician | 207L00000X | C55777 | CA | Yes |
Addresses
Primary practice location
21917 Gardenview LN
Cupertino, CA 95014-1131
Mailing address
21917 Gardenview LN
Cupertino, CA 95014-1131
Phone (408) 899-6016
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All providers in Cupertino, CA · Anesthesiology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2015. 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.