Doctor Name: | DR. MICHEL NAWAR MIKHAEL |
NPI Number: | 1902951460 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A38934 |
Business Practice Address: | 14624 Sherman Way Suite #203 Van Nuys, CA - 914052241 |
Business Phone Number: | 8187853336 |
Business Fax Number: | 8187853205 |
Mailing Address: | 14624 Sherman Way, Suite #203 VAN NUYS |
State: | CA |
Postal Code: | 914052241 |
Phone Number: | 8187853336 |
Fax Number: | 8187853205 |
NPI Enumeration Date: | 01/24/2007 |
NPI Last Update Date: | 09/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A38934 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |