Provider Demographics
NPI:1639867609
Name:MIKHEAL, MICHEAL MICHEL (MD)
Entity Type:Individual
Prefix:
First Name:MICHEAL
Middle Name:MICHEL
Last Name:MIKHEAL
Suffix:
Gender:M
Credentials:MD
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:28062 BAXTER ROAD
Mailing Address - Street 2:OFFICE OF GME, FAMILY MEDICINE PROGRAM ATTN: JESSICA T
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-1401
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:28062 BAXTER ROAD
Practice Address - Street 2:LOMA LINDA UNIVERSITY MEDICAL CENTER MURRIETA GME
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-1401
Practice Address - Country:US
Practice Address - Phone:951-704-1740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-27
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program