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NPI Code Detail

MEDICARE: HALAPPA HAKKAL

MEDICARE:   HALAPPA  HAKKAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology PhysicianD0019356MD

General Provider Information

NPI Number : 1588698047
Entity Type Code : Individual
Provider Name (Legal Business Name) : HALAPPA HAKKAL
Provider Business Mailing Address
First Line : 24035 THREE NOTCH RD
Second Line :
City : HOLLYWOOD
State : MD
Zip : 20636-4871
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 24035 THREE NOTCH RD
Second Line :
City : HOLLYWOOD
State : MD
Zip : 20636-4871
Country : US
Telephone Number : 301-373-7900
Fax Number : 301-373-6900
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2006
Last Update Date : 11/06/2007

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Directions to “ HALAPPA HAKKAL ” Practice Location

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