Hisham Abukamleh Md. Inc | |
18144 Us Highway 18 Ste 140 Apple Valley CA 92307-2219 | |
(760) 515-4003 | |
(760) 515-4503 |
Full Name | Hisham Abukamleh Md. Inc |
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Speciality | Clinic/Center |
Location | 18144 Us Highway 18 Ste 140, Apple Valley, California |
Authorized Official Name and Position | Hisham Jihad Abukamleh (DOCTOR) |
Authorized Official Contact | 7605154003 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hisham Abukamleh Md. Inc 18182 Us Highway 18 Ste 107 Apple Valley CA 92307-2200 Ph: (760) 515-4003 | Hisham Abukamleh Md. Inc 18144 Us Highway 18 Ste 140 Apple Valley CA 92307-2219 Ph: (760) 515-4003 |
NPI Number | 1043855208 |
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Provider Enumeration Date | 11/12/2019 |
Last Update Date | 07/10/2024 |
Medicare PECOS PAC ID | 4183051303 |
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Medicare Enrollment ID | O20200228001893 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043855208 | NPI | - | NPPES |
1144689647 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Hisham J Abukamleh |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144689647 PECOS PAC ID: 1153681069 Enrollment ID: I20180213002569 |
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