Healthcare Provider Details
I. General information
NPI: 1174792253
Provider Name (Legal Business Name): AKEEL HALAI, M.D.,INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/22/2008
Last Update Date: 11/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2570 GOODWATER AVE SUITE 300
REDDING CA
96002-1548
US
IV. Provider business mailing address
PO BOX 496084
REDDING CA
96049-6084
US
V. Phone/Fax
- Phone: 530-224-1876
- Fax: 530-224-1878
- Phone: 530-241-0473
- Fax: 530-241-5377
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RG0100X |
| Taxonomy | Gastroenterology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
AKEEL
SAJJAD
HALAI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 530-244-3622