Provider Demographics
NPI:1225151202
Name:KORRAA, HISHAM GALAL (MD)
Entity Type:Individual
Prefix:DR
First Name:HISHAM
Middle Name:GALAL
Last Name:KORRAA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1601 DOVE ST
Mailing Address - Street 2:SUITE 230
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-2433
Mailing Address - Country:US
Mailing Address - Phone:949-851-2006
Mailing Address - Fax:949-833-3467
Practice Address - Street 1:1601 DOVE ST
Practice Address - Street 2:SUITE 230
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-2433
Practice Address - Country:US
Practice Address - Phone:949-851-2006
Practice Address - Fax:949-833-3467
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA717142084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry