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Organization

SUHAIL I HAWATT MD

Active
Other names
SUHAIL I HAWATT MD
Organization subpart
No

Provider details

NPI number
Authorized official
DIRENDIA SHACKELFORD (MANAGED CARE SPECIALIST)
(800) 654-0889
Entity
Organization

Contact information

Practice address
23961 CALLE DE LA MAGDALENA STE 517, LAGUNA HILLS, CA 92653-7628
(949) 830-4082
(949) 830-4344
Mailing address
23961 CALLE DE LA MAGDALENA STE 517, LAGUNA HILLS, CA 92653-7628

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
C37808
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5602102
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
10/23/2006
Last updated
06/16/2008
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