Provider Demographics
NPI:1467492256
Name:HEGAZY, JIHAN (MD)
Entity type:Individual
Prefix:
First Name:JIHAN
Middle Name:
Last Name:HEGAZY
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 1:3848 MCHENRY AVE STE 135
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95356-1599
Mailing Address - Country:US
Mailing Address - Phone:917-428-0151
Mailing Address - Fax:
Practice Address - Street 1:3848 MCHENRY AVE STE 135
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95356-1599
Practice Address - Country:US
Practice Address - Phone:917-428-0151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC138784208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery