Individual
HENRY BAHGAT SELIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3279 LAKESHORE COURT, STOCKTON, CA 95219-5491
(209) 951-6550
Mailing address
3279 LAKESHORE COURT, STOCKTON, CA 95219-5491
(209) 951-6550
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
AFE33286
CA
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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