Provider Demographics
NPI:1275580698
Name:EL-NEWIHI, HUSSEIN (MD)
Entity Type:Individual
Prefix:MR
First Name:HUSSEIN
Middle Name:
Last Name:EL-NEWIHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 W ATEN RD STE 2
Mailing Address - Street 2:
Mailing Address - City:IMPERIAL
Mailing Address - State:CA
Mailing Address - Zip Code:92251-9805
Mailing Address - Country:US
Mailing Address - Phone:760-355-7730
Mailing Address - Fax:760-355-7731
Practice Address - Street 1:1550 N IMPERIAL AVE STE 2
Practice Address - Street 2:
Practice Address - City:EL CENTRO
Practice Address - State:CA
Practice Address - Zip Code:92243-4242
Practice Address - Country:US
Practice Address - Phone:760-353-5000
Practice Address - Fax:760-352-4892
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH23782207RG0100X
CAA43712207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0066310OtherMEDI CAL GROUP
CAZZZ47482ZOtherBLUE SHIELD OF CALIFORNIA
CA00A437120Medicaid
CAWA43712AOtherMEDICARE PTAN
CA100008784OtherRAILROAD PIN#
CACC6635OtherRAIL ROAD GROUP #
CACC6635OtherRAIL ROAD GROUP #
CA100008784OtherRAILROAD PIN#
CA00A437120Medicaid