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NPI Code Detail

MEDICARE: DR. HADEEL ISSA NAQIB M.D.

MEDICARE: DR. HADEEL ISSA NAQIB M.D.
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
1208000000XPediatrics PhysicianC52879CA
2208000000XPediatrics PhysicianD0041989MD
3208000000XPediatrics PhysicianMD-039396-YPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043282783
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HADEEL ISSA NAQIB M.D.
Provider Business Mailing Address
First Line : 200 S WELLS RD
Second Line :
City : VENTURA
State : CA
Zip : 93004-1377
Country : US
Telephone Number : 410-687-6434
Fax Number :
Provider Business Practice Location Address
First Line : 200 S WELLS RD
Second Line :
City : VENTURA
State : CA
Zip : 93004-1377
Country : US
Telephone Number : 410-687-6434
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2006
Last Update Date : 12/15/2025

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