Provider Demographics
NPI:1629163365
Name:SEIFY, HISHAM MOHAMED (MD)
Entity Type:Individual
Prefix:DR
First Name:HISHAM
Middle Name:MOHAMED
Last Name:SEIFY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 80157
Mailing Address - Street 2:
Mailing Address - City:RANCHO SANTA MARGARITA
Mailing Address - State:CA
Mailing Address - Zip Code:92688-0157
Mailing Address - Country:US
Mailing Address - Phone:949-251-1502
Mailing Address - Fax:949-251-1522
Practice Address - Street 1:20301 SW BIRCH ST
Practice Address - Street 2:100
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-1754
Practice Address - Country:US
Practice Address - Phone:949-251-1502
Practice Address - Fax:949-251-1522
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2023-08-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA915902086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery