Provider Demographics
NPI:1942970231
Name:AL-SAHLANI, HEBA MAZIN (PA-C)
Entity Type:Individual
Prefix:
First Name:HEBA
Middle Name:MAZIN
Last Name:AL-SAHLANI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 DUKE MEDICINE CIR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-4000
Mailing Address - Country:US
Mailing Address - Phone:919-681-1700
Mailing Address - Fax:919-668-1294
Practice Address - Street 1:40 DUKE MEDICINE CIR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-4607
Practice Address - Country:US
Practice Address - Phone:919-681-1700
Practice Address - Fax:919-668-1294
Is Sole Proprietor?:No
Enumeration Date:2021-09-17
Last Update Date:2022-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363A00000X
PAMA062992363A00000X
PAOA005859363A00000X
NC0010-11818363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
15449281OtherCAQH