Healthcare Provider Details

I. General information

NPI: 1558848887
Provider Name (Legal Business Name): HASEEB HAROON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2018
Last Update Date: 08/13/2024
Certification Date: 08/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 NAPA VALLEJO HWY
NAPA CA
94558-6234
US

IV. Provider business mailing address

2100 NAPA VALLEJO HWY
NAPA CA
94558-6234
US

V. Phone/Fax

Practice location:
  • Phone: 707-253-5000
  • Fax:
Mailing address:
  • Phone: 707-253-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084F0202X
TaxonomyForensic Psychiatry Physician
License NumberA174893
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA174893
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: