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NPI Code Detail

MEDICARE: MR. AMIR NASR HELALI M.D.

MEDICARE:  MR. AMIR NASR HELALI  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
1207Q00000XFamily Medicine PhysicianMT192623PA
2207QA0505XAdult Medicine PhysicianA114648CA

General Provider Information

NPI Number : 1942462320
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. AMIR NASR HELALI M.D.
Provider Business Mailing Address
First Line : 26445 VIA MALLORCA
Second Line :
City : CARMEL
State : CA
Zip : 93923-9503
Country : US
Telephone Number : 831-261-9257
Fax Number :
Provider Business Practice Location Address
First Line : 10561 MERRITT ST
Second Line :
City : CASTROVILLE
State : CA
Zip : 95012-3310
Country : US
Telephone Number : 831-633-1514
Fax Number : 831-633-0311
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2008
Last Update Date : 10/28/2015

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