Mohamed Mahmoud Hussien Ha Shehab, in Fresno, CA - Medicare Dentist Provider

Mohamed Mahmoud Hussien Ha Shehab, is a medicare enrolled "Dentist" provider in Fresno, California. His current practice location is 2740 S Elm Ave, Fresno, California. You can reach out to his office (for appointments etc.) via phone at (559) 457-5200.

Mohamed Mahmoud Hussien Ha Shehab is licensed to practice in California (license number DDS101785) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215453840.

Contact Information

	Mohamed Mahmoud Hussien Ha Shehab,
	2740 S Elm Ave, Fresno, CA 93706-5435
	(559) 457-5200
	Not Available

Healthcare Provider's Profile

Full Name	Mohamed Mahmoud Hussien Ha Shehab
Gender	Male
Speciality	Dentist
Location	2740 S Elm Ave, Fresno, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215453840
Provider Enumeration Date: 08/15/2017
Last Update Date: 08/15/2017

Medicare PECOS Information:

PECOS PAC ID: 5698048825
Enrollment ID: I20170908002481

Medical Identifiers

Medical identifiers for Mohamed Mahmoud Hussien Ha Shehab such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215453840	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DDS101785 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mohamed Mahmoud Hussien Ha Shehab is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mohamed Mahmoud Hussien Ha Shehab, 9436 N Saybrook Dr Apt 129, Fresno, CA 93720-0640 Ph: (415) 530-7408	Mohamed Mahmoud Hussien Ha Shehab, 2740 S Elm Ave, Fresno, CA 93706-5435 Ph: (559) 457-5200

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Dentist in Fresno, CA

Rahul Deepak Golani, BDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4646 N 1st St, Fresno, CA 93726 Phone: 800-300-6664
Dr. Gregory Miyake, DDS Dentist Medicare: Medicare Enrolled Practice Location: 7234 N Sequoia Ave, Fresno, CA 93711 Phone: 559-246-4195 Fax: 559-447-1813
Dr. Albert Pomerantz, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4820 N 1st St Ste 101, Fresno, CA 93726 Phone: 559-226-6681 Fax: 559-226-6806
Mr. Paramjit S Sandhu, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2509 E Cole Ave, Fresno, CA 93720 Phone: 559-323-7120
Dr. Quincy Izabela Sofowora, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4901 E Kings Canyon Rd, Fresno, CA 93727 Phone: 866-592-8129
Saadia A Rana, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6687 N Blackstone Ave Ste 101, Fresno, CA 93710 Phone: 559-439-5231
Dr. Aye K. Ko, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1409 N Fresno St, Fresno, CA 93703 Phone: 559-264-4543 Fax: 559-264-0226

Mohamed Mahmoud Hussien Ha Shehab, - Medicare Dentist in Fresno, CA