Provider Demographics
NPI:1265521520
Name:HAMOUI, TAHA (MD)
Entity type:Individual
Prefix:MR
First Name:TAHA
Middle Name:
Last Name:HAMOUI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44215 15TH STREET WEST
Mailing Address - Street 2:SUITE 307
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534
Mailing Address - Country:US
Mailing Address - Phone:661-949-5901
Mailing Address - Fax:661-949-5594
Practice Address - Street 1:44215 15TH STREET WEST
Practice Address - Street 2:SUITE 307
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534
Practice Address - Country:US
Practice Address - Phone:661-949-5901
Practice Address - Fax:661-949-5594
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA33885207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA981 4419OtherMEDICAL
A27286Medicare ID - Type Unspecified