Provider Demographics
NPI:1962790618
Name:AL HARASH, ABDALHAMID (MD, FACP)
Entity type:Individual
Prefix:DR
First Name:ABDALHAMID
Middle Name:
Last Name:AL HARASH
Suffix:
Gender:M
Credentials:MD, FACP
Other - Prefix:DR
Other - First Name:ADAM
Other - Middle Name:
Other - Last Name:HARASH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, FACP
Mailing Address - Street 1:11234 ANDERSON ST # MC-1516
Mailing Address - Street 2:
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-2804
Mailing Address - Country:US
Mailing Address - Phone:909-558-4499
Mailing Address - Fax:909-558-0428
Practice Address - Street 1:11234 ANDERSON ST # MC-1516
Practice Address - Street 2:
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92354-2804
Practice Address - Country:US
Practice Address - Phone:909-558-4499
Practice Address - Fax:909-558-0428
Is Sole Proprietor?:No
Enumeration Date:2011-07-15
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC167575207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine