Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | A111675 | CA |
NPI | 1083623540 |
---|---|
Provider Name | Dr. Leheb H. Araim |
First Address | Visalia, CA 93291-6238 |
Second Address | Visalia, CA 93291-6238 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 05/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
111675 | MEDICAL LICENSE (01) | CA |