Provider Demographics
NPI:1306473509
Name:SWEHLI MEDICAL CORPORATION
Entity type:Organization
Organization Name:SWEHLI MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:EHAB
Authorized Official - Middle Name:A
Authorized Official - Last Name:SWEHLI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-510-8950
Mailing Address - Street 1:915 E LALLE AVE
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93292-1764
Mailing Address - Country:US
Mailing Address - Phone:404-510-8950
Mailing Address - Fax:
Practice Address - Street 1:1730 S COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:DINUBA
Practice Address - State:CA
Practice Address - Zip Code:93618-2812
Practice Address - Country:US
Practice Address - Phone:404-510-8950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-26
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty