Provider Demographics
NPI:1518954973
Name:CONTRACTOR, HEENA M (MD)
Entity Type:Individual
Prefix:MS
First Name:HEENA
Middle Name:M
Last Name:CONTRACTOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 1127
Mailing Address - Street 2:
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720-1127
Mailing Address - Country:US
Mailing Address - Phone:562-596-1667
Mailing Address - Fax:562-598-6867
Practice Address - Street 1:10941 BLOOMFIELD ST
Practice Address - Street 2:#A
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-2530
Practice Address - Country:US
Practice Address - Phone:562-596-1667
Practice Address - Fax:562-598-6867
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA85844207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology