Provider Demographics
NPI:1326089053
Name:ALSALIHI, HEDEAL A (MD)
Entity Type:Individual
Prefix:
First Name:HEDEAL
Middle Name:A
Last Name:ALSALIHI
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 1:101 E NOBLE AVE
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-2717
Mailing Address - Country:US
Mailing Address - Phone:559-735-0500
Mailing Address - Fax:
Practice Address - Street 1:101 E NOBLE AVE
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-2717
Practice Address - Country:US
Practice Address - Phone:559-735-0500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301083929207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HA083929OtherCHAMPUS-CHAMPUS
HA083929OtherCOMMERCIAL-COMMERCIAL NUMBER
HA083929OtherCOMMERCIAL-COMMERCIAL NUMBER