Individual
WAEL A HARB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1441 AVOCADO AVE STE 301, NEWPORT BEACH, CA 92660-7704
(949) 272-2095
(949) 272-2096
Mailing address
1441 AVOCADO AVE STE 301, NEWPORT BEACH, CA 92660-7704
(949) 272-2095
(949) 272-2096
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01044990A
IN
207RH0003X
Hematology & Oncology Physician
01044990A
IN
207RH0003X
Hematology & Oncology Physician
4301116641
MI
207RH0003X
Hematology & Oncology Physician
Primary
C172708
CA
207RX0202X
Medical Oncology Physician
01044990A
IN
207RX0202X
Medical Oncology Physician
4301116641
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000658155
ANTHEM PROVIDER NUMBER
IN
05
—
1861468415
—
MI
05
—
200173610
—
IN
Enumeration date
02/24/2006
Last updated
09/16/2021
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