| Hisham Abukamleh Md. Inc | |
|
18144 Us Highway 18 Ste 140 Apple Valley CA 92307-2219 | |
| (760) 515-4003 | |
| (760) 515-4503 |
| Full Name | Hisham Abukamleh Md. Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 18144 Us Highway 18 Ste 140, Apple Valley, California |
| Authorized Official Name and Position | Hisham Jihad Abukamleh (DOCTOR) |
| Authorized Official Contact | 7605154003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hisham Abukamleh Md. Inc 18144 Us Highway 18 Ste 140 Apple Valley CA 92307-2219 Ph: (760) 515-4003 | Hisham Abukamleh Md. Inc 18144 Us Highway 18 Ste 140 Apple Valley CA 92307-2219 Ph: (760) 515-4003 |
| NPI Number | 1043855208 |
|---|---|
| Provider Enumeration Date | 11/12/2019 |
| Last Update Date | 07/01/2020 |
| Medicare PECOS PAC ID | 4183051303 |
|---|---|
| Medicare Enrollment ID | O20200228001893 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043855208 | NPI | - | NPPES |
| 1144689647 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Hisham J Abukamleh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144689647 PECOS PAC ID: 1153681069 Enrollment ID: I20180213002569 |
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