Doctor Name: | DR. MHD HICHAM ALNACHAWATI |
NPI Number: | 1407041312 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 4301093387 |
Business Practice Address: | 843 Hutchinson River Parkway Bronx, NY - 10465 |
Business Phone Number: | 7189254400 |
Business Fax Number: | |
Mailing Address: | 50 Route 5, FORT LEE |
State: | NJ |
Postal Code: | 070246323 |
Phone Number: | 6176992025 |
Fax Number: | |
NPI Enumeration Date: | 09/13/2007 |
NPI Last Update Date: | 02/16/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 4301093387 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |