Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | DEN5316 | DC |
NPI | 1003022831 |
---|---|
Provider Name | Dr. Hassan E Chehayeb |
First Address | Washington, DC 20016-4701 |
Second Address | Washington, DC 20016-4701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2007 |
Last Update Date | 08/07/2007 |