Provider Demographics
NPI:1548580236
Name:HARHARA, HALEEMA FAZAL (MD)
Entity Type:Individual
Prefix:DR
First Name:HALEEMA
Middle Name:FAZAL
Last Name:HARHARA
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 1:8588 FM 1398
Mailing Address - Street 2:
Mailing Address - City:HOOKS
Mailing Address - State:TX
Mailing Address - Zip Code:75561-7096
Mailing Address - Country:US
Mailing Address - Phone:210-748-8242
Mailing Address - Fax:
Practice Address - Street 1:2100 STANTONSBURG RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-2818
Practice Address - Country:US
Practice Address - Phone:252-744-0750
Practice Address - Fax:252-744-0392
Is Sole Proprietor?:No
Enumeration Date:2010-06-04
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-12986207R00000X, 208000000X
NC2013-01216207R00000X, 208000000X
TXQ2673208M00000X
ALMD.41361207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist