Adel Mohammed Alwakeedi | Louisville, KY • PECOS Search

Adel Mohammed Alwakeedi

Internal Medicine

Allopathic & Osteopathic Physicians

501 E Broadway Ste 100, Louisville, KY 40202-1797

PECOS Enrollment

Based on the most recent information from CMS, provider Adel Mohammed Alwakeedi does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1477282770
Provider Type
Individual
Full Name
Alwakeedi, Adel Mohammed
Gender
Male

Sole Proprietor
No
Enumeration Date
6/10/2022
Last Updated
6/10/2022

Contact Information

Practice Location

501 E Broadway Ste 100, Louisville, KY 40202-1797

Unlisted Fax

Mailing Location

501 E Broadway Ste 100, Louisville, KY 40202-1797

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 2020038736 Missouri