Provider Demographics
NPI:1255504114
Name:HUBBI, HAYAT KASHLAN (MD)
Entity Type:Individual
Prefix:DR
First Name:HAYAT
Middle Name:KASHLAN
Last Name:HUBBI
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 1:2801 SUNSET AVE
Mailing Address - Street 2:
Mailing Address - City:OCEAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-4535
Mailing Address - Country:US
Mailing Address - Phone:732-361-2821
Mailing Address - Fax:
Practice Address - Street 1:2801 SUNSET AVE
Practice Address - Street 2:
Practice Address - City:OCEAN
Practice Address - State:NJ
Practice Address - Zip Code:07712-4535
Practice Address - Country:US
Practice Address - Phone:732-361-2821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA041054208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics