Provider Demographics
NPI:1114196417
Name:MIKHAIL, BESMA YAKO (MD)
Entity Type:Individual
Prefix:DR
First Name:BESMA
Middle Name:YAKO
Last Name:MIKHAIL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 REA AVE
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-3985
Mailing Address - Country:US
Mailing Address - Phone:619-798-3977
Mailing Address - Fax:619-510-4648
Practice Address - Street 1:181 REA AVE
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-3985
Practice Address - Country:US
Practice Address - Phone:619-798-3977
Practice Address - Fax:619-510-4648
Is Sole Proprietor?:No
Enumeration Date:2008-02-21
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
4301083958174400000X
MI4301083958208000000X
CAC174337208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No174400000XOther Service ProvidersSpecialist