Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 4301087280 | MI |
N | 208200000X | Surgeon | 53113 | WI |
N | 208600000X | Surgeon | 53113 | WI |
N | 208200000X | Surgeon | D0080121 | MD |
N | 208600000X | Surgeon | D0080121 | MD |
Y | 208200000X | Surgeon | MD043461 | DC |
Y | 208600000X | Surgeon | MD043461 | DC |
NPI | 1578760633 |
---|---|
Provider Name | Dr. Ayman Al Harakeh |
First Address | San Jose, CA 95116-1588 |
Second Address | San Jose, CA 95116 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2007 |
Last Update Date | 11/06/2018 |