Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0129X | Vascular Surgeon | 59800 | AZ |
Y | 2086S0129X | Vascular Surgeon | T4104 | TX |
NPI | 1053676049 |
---|---|
Provider Name | Dr. Abdulqader Sufyan Alarhayem |
First Address | Odessa, TX 79760-2129 |
Second Address | Odessa, TX 79761-5044 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2012 |
Last Update Date | 04/01/2022 |