SUHAIB FARAH MUFADI AL-SAWAJNEH M.D
NPI 1982336277
Student in an Organized Health Care Education/Training Program in Batesville, AR

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since June 27, 2022PECOS Enrolled

1710 HARRISON ST, BATESVILLE, AR 72501(870) 262-1200 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 19, 2024, Feb 3, 2023 (2 updates tracked since 2023).

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About Suhaib Farah Mufadi Al-sawajneh M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUHAIB FARAH MUFADI AL-SAWAJNEH M.D (NPI 1982336277) is an individual student in an organized health care education/training program in Batesville, Arkansas and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1982336277

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSUHAIB FARAH MUFADI AL-SAWAJNEHCredential: M.D

Location Address1710 HARRISON STBatesville, AR 72501-7303

Mailing Address802 Lakeland Dr Apt 405Jackson, MS 39216-4628 · (601) 665-7382

Phone(870) 262-1200

Sole ProprietorNo

Enumeration DateJune 27, 2022

Last NPPES UpdateJune 19, 20242 updates tracked since enumeration

NPPES CertifiedApril 17, 2024

✔ NPI 1982336277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1710 HARRISON ST, Batesville, AR 72501

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Secondary Practice Location 1

Location 12500 North State StreetJackson, MS 39216 · Phone (601) 984-5670

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suhaib Farah Mufadi Al-sawajneh M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.