Individual
MOHAMMED AZIB M ALQAHTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 LONGWOOD AVE # FEGAN11, BOSTON, MA 02115-5724
(617) 355-8735
Mailing address
300 LONGWOOD AVE # FEGAN11, BOSTON, MA 02115-5724
(617) 355-8735
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
Primary
3017839
MA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
3017839
MA
Other
Enumeration date
07/19/2025
Last updated
07/19/2025
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