Dr. Hussam Fuad Eid Al-Jawaldeh, MD
Internal Medicine in Sierra Vista, AZ. Individual provider (NPI-1).
NPI number1992376057
StatusActive
Last updated in NPPESAug 10, 2024
Details
- NPI
- 1992376057
- Entity type
- Individual (NPI-1)
- Name
- Dr. Hussam Fuad Eid Al-Jawaldeh
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 8, 2021
- Certification date
- Aug 10, 2024
- Last updated
- Aug 10, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 71647 | AZ | Yes |
| 207R00000X | Internal Medicine | R78879 | AZ |
Practice location
5700 E Highway 90Sierra Vista, AZ 85635-9110
Phone 520-263-2000
Mailing address
289 S Highway 92 Apt 3202Sierra Vista, AZ 85635-3681
Phone 520-678-2379
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