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NPI Code Detail

MEDICARE: TAHER MOHAMED HEGAB B.PHARM PH.D

MEDICARE: TAHER MOHAMED HEGAB B.PHARM PH.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
1183500000XPharmacist60535CA

General Provider Information

NPI Number : 1215196993
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAHER MOHAMED HEGAB B.PHARM PH.D
Provider Business Mailing Address
First Line : 7246 N LAVAL AVE
Second Line :
City : FRESNO
State : CA
Zip : 93720-0323
Country : US
Telephone Number : 559-940-3831
Fax Number :
Provider Business Practice Location Address
First Line : 2990 E NEES AVE
Second Line :
City : FRESNO
State : CA
Zip : 93720-6008
Country : US
Telephone Number : 559-297-4301
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2008
Last Update Date : 06/13/2008

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