MEDICARE: DR. TAREK ABDELHALIM DDS,MSC,FACP

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
1	1223P0700X	Prosthodontics	51205	CA

General Provider Information

NPI Number	:	1922390079
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TAREK ABDELHALIM DDS,MSC,FACP

Provider Business Mailing Address
First Line	:	9735 WILSHIRE BLVD STE 215
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90212-2110
Country	:	US
Telephone Number	:	310-271-5155
Fax Number	:	310-247-1260

Provider Business Practice Location Address
First Line	:	9735 WILSHIRE BLVD STE 215
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90212-2110
Country	:	US
Telephone Number	:	310-271-5155
Fax Number	:	310-247-1260

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2011
Last Update Date	:	05/09/2011

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