Provider Demographics
NPI:1871479493
Name:ALSARRAJ, MHD BASSEL
Entity type:Individual
Prefix:
First Name:MHD BASSEL
Middle Name:
Last Name:ALSARRAJ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3354
Mailing Address - Street 2:
Mailing Address - City:RIYADH
Mailing Address - State:RIYADH
Mailing Address - Zip Code:11211
Mailing Address - Country:SA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 3354
Practice Address - Street 2:MBC 84
Practice Address - City:RIYADH
Practice Address - State:RIYADH
Practice Address - Zip Code:11211
Practice Address - Country:SA
Practice Address - Phone:011-442-4425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301063250207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine