Individual ProviderAsaad AlsufyaniStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address3000 Arlington Ave, Toledo, OH 43614-2570(419) 383-6369PECOS EnrollmentBased on the most recent information from CMS, provider Asaad Alsufyani is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1902216781Provider TypeIndividualFull NameAlsufyani, AsaadCredentialM.DGenderMaleSole ProprietorNoEnumeration Date5/2/2014Last Updated5/2/2014Contact InformationPractice LocationPractice Address3000 Arlington Ave, Toledo, OH 43614-2570Phone(419) 383-6369FaxUnlisted FaxMailing LocationMailing Address3600 Arlington Ave, Mail Stop 1088, Toledo, OH 43614Phone(419) 383-6369FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer