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Contact Information

MOHAMAD ALTAYEB AL HAFEZ, MD
1221 HIGHLAND AVE
CLARKSTON, WA99403-2829
 Phone: 360-754-5858
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MOHAMAD ALTAYEB AL HAFEZ · (Male)

NPI # 1265444723
Status Active
Credentials MD
Entity Individual
Enumeration date 08/13/2006
Last updated 12/04/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD158168
  • WA License # MD00040497
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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