Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | MD.13355R | LA |
NPI | 1023008372 |
---|---|
Provider Name | Dr. Hafez Halawani |
First Address | Alexandria, LA 71301-3841 |
Second Address | Alexandria, LA 71301-3841 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2005 |
Last Update Date | 04/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1126462 | (05) | LA |
G79420 | (02) | LA |