Dr Shalomim Yahoshua Halahawi, NMD DPH DFM DTCM is a
Family Medicine based in College Park, Georgia. Dr Shalomim Yahoshua Halahawi is licensed to practice in ZZ (license number SDC-1208589) and his current practice location is
4827 Old National Hwy # 10016, College Park, Georgia. He can be reached at his office (for appointments etc.) via phone at
(678) 909-4422.
NPI number for Dr Shalomim Yahoshua Halahawi is 1366778177 and his current mailing address is 1080 Cypress Pkwy, 1108, Kissimmee, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366778177.
Healthcare Provider's Profile
| Full Name | Dr Shalomim Yahoshua Halahawi |
|---|
| Gender | Male |
|---|
| Speciality | Family Medicine |
|---|
| Location | 4827 Old National Hwy # 10016, College Park, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1366778177
- Provider Enumeration Date: 10/29/2009
- Last Update Date: 04/14/2020
Medical Identifiers
Medical identifiers for Dr Shalomim Yahoshua Halahawi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366778177 | NPI | - | NPPES |
| LIC#10311976PMD | Other | GA | AMERICAN ASSOCIATION OF INTEGRATIVE & PASTORAL MEDICINE |
| 11D2003757 | Other | GA | GEORGIA DEPARTMENT OF COMMUNITY HEALTH CLIA REGISTRATION |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP1600X | Counselor - Pastoral | 012710311976-PCFL (Florida) | Secondary |
| 101YP1600X | Counselor - Pastoral | LIC NO.10311976LPM (Georgia) | Secondary |
| 133NN1002X | Nutritionist - Nutrition, Education | (Georgia) | Secondary |
| 133NN1002X | Nutritionist - Nutrition, Education | NUT-012710311976FL (Florida) | Secondary |
| 133NN1002X | Nutritionist - Nutrition, Education | 10311976PNNT (ZZ) | Secondary |
| 171100000X | Acupuncturist | MFS1102210797 (ZZ) | Secondary |
| 174H00000X | Health Educator | HE-04012016-103176 (Florida) | Secondary |
| 174H00000X | Health Educator | 750127-1076PHE (ZZ) | Secondary |
| 175F00000X | Naturopath | NAT#1000888 (District Of Columbia) | Secondary |
| 175L00000X | Homeopath | 0127-HOM-1031976FLA (Florida) | Secondary |
| 175L00000X | Homeopath | LIC.10311976P-MD (Georgia) | Secondary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | D-1130-M1PK (ZZ) | Secondary |
| 364S00000X | Clinical Nurse Specialist | SDCL/MIIM/ISD1208588 (ZZ) | Secondary |
| 207Q00000X | Family Medicine | SDC-1208589 (ZZ) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shalomim Yahoshua Halahawi is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Shalomim Yahoshua Halahawi, NMD DPH DFM DTCM
1080 Cypress Pkwy, 1108,
Kissimmee, FL 34759-3328
Ph: (678) 909-4422 | Dr Shalomim Yahoshua Halahawi, NMD DPH DFM DTCM
4827 Old National Hwy # 10016,
College Park, GA 30337-6234
Ph: (678) 909-4422 |
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