Provider Demographics
NPI:1649283557
Name:ALHAYYA, TAMEEM (MD)
Entity type:Individual
Prefix:DR
First Name:TAMEEM
Middle Name:
Last Name:ALHAYYA
Suffix:
Gender:
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:PO BOX 62
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-0003
Mailing Address - Country:US
Mailing Address - Phone:951-339-8459
Mailing Address - Fax:
Practice Address - Street 1:250 E RINCON ST STE 106
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92879-1363
Practice Address - Country:US
Practice Address - Phone:951-339-8459
Practice Address - Fax:951-339-8461
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA125541207R00000X, 208M00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30208694Medicaid
NH001087701Medicare PIN