Mohammad Riyad Mohammad Al-Dqour, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Johnson City, TN
NPI 1609618495 · NPPES record last updated Jun 11, 2024
Key facts
- NPI
- 1609618495
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 325 N State of Franklin Rd
Johnson City, TN 37604-6056 - Phone
- (423) 439-7280
- Fax
- (423) 439-7314
- NPI assigned
- Jun 11, 2024
- 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
325 N State of Franklin Rd
Johnson City, TN 37604-6056
Mailing address
325 N State of Franklin Rd
Johnson City, TN 37604-6056
Phone (423) 439-7280
Other providers in Johnson City, TN
- Pavel Aksionav
- Rania A Al Asmar
- Amani Al Housseiny
- Ahmad Samih Al Tamari
- Mohammed Al Tarawenh
- Ban Jawad Al-Goran
- Thabit Al-Khateeb
- Mohamad Aref Al-Momani
- Larry Albrecht
- Lauren Albright
All providers in Johnson City, TN · Student in an Organized Health Care Education/Training Program in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2024. 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.