Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | ME104376 | FL |
N | 208000000X | Pediatrician | ME104376 | FL |
N | 2080P0201X | Pediatric Allergist | ME104376 | FL |
NPI | 1760890446 |
---|---|
Provider Name | Dr. Alaa Hegab |
First Address | Palo Alto, CA 94301-1713 |
Second Address | Palo Alto, CA 94301-1713 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2014 |
Last Update Date | 26/07/2014 |