Basic Information
Provider Information
NPI: 1437116449
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HALAI
FirstName: AKEEL
MiddleName: SAJJAD
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2570 GOODWATER AVE
Address2: SUITE 300
City: REDDING
State: CA
PostalCode: 960021548
CountryCode: US
TelephoneNumber: 5302241876
FaxNumber: 5302241878
Practice Location
Address1: 2570 GOODWATER AVE
Address2: SUITE 300
City: REDDING
State: CA
PostalCode: 960021548
CountryCode: US
TelephoneNumber: 5302241876
FaxNumber: 5302241878
Other Information
ProviderEnumerationDate: 04/26/2006
LastUpdateDate: 06/01/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RG0100XA80756CAY Allopathic & Osteopathic PhysiciansInternal MedicineGastroenterology

No ID Information.


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