Provider Demographics
NPI:1285167395
Name:SHEHATA, HANNAH LOUISE (MD)
Entity type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:LOUISE
Last Name:SHEHATA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:LOUISE
Other - Last Name:KEMICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:25395 HANCOCK AVE #210
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-9054
Mailing Address - Country:US
Mailing Address - Phone:951-600-7066
Mailing Address - Fax:951-600-7783
Practice Address - Street 1:25395 HANCOCK AVE #210
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-9054
Practice Address - Country:US
Practice Address - Phone:951-600-7066
Practice Address - Fax:951-600-7783
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-05
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA157432207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology