Provider Demographics
NPI:1578396974
Name:ALAQRABAWI, MOHAMMAD ABDEL LATIF MOUSA (CPO)
Entity type:Individual
Prefix:MR
First Name:MOHAMMAD
Middle Name:ABDEL LATIF MOUSA
Last Name:ALAQRABAWI
Suffix:
Gender:M
Credentials:CPO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:3695 NE AKIN DR UNIT B
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64064-8054
Mailing Address - Country:US
Mailing Address - Phone:804-982-0584
Mailing Address - Fax:
Practice Address - Street 1:3695 NE AKIN DR UNIT B
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64064-8054
Practice Address - Country:US
Practice Address - Phone:804-982-0584
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-21
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist