HENRY BAHGAT SELIM (NPI# 1154696714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154696714 |
| Entity Type | Individual |
| Full Name | HENRY BAHGAT SELIM |
| Credential | M.D. |
| Practice Address |
3279 Lakeshore Court Stockton CA 95219-5491 |
| Practice Telephone | 2099516550 |
| Mailing Telephone | 2099516550 |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2012-03-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | AFE33286 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3279 LAKESHORE COURT |
| City | STOCKTON |
| State | CA |
| Zip Code | 95219-5491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821568494 | Vanessa Paola Uribe Morales | Behavior Technician | 3620 Hammer Lane, Stockton, CA 95219 | 2018-11-27 |
| 1306316930 | Zulema Cecilia Santana | Behavior Technician | 3620 W. Hammer Ln, Stockton, CA 95219 | 2018-11-27 |
| 1699245241 | Tiana Gonzalez | Behavior Technician | 3620 W. Hammer Ln., Stockton, CA 95219 | 2018-11-27 |
| 1609346220 | Kelly Morales | Behavior Technician | 3620 W Hammer Lane, Stockton, CA 95219 | 2018-11-26 |
| 1336619956 | Mouagoleah Her | Behavior Technician | 3620 W. Hammer Lane, Stockton, CA 95219 | 2018-11-26 |
| 1750837985 | Alexsandra Trejo | Marriage & Family Therapist | 6707 Embarcadero Drive, Stockton, CA 95219 | 2016-08-28 |
| 1659764397 | Integrated Pain Treatment Center | Pain Medicine | 4312 Feather River Drive, Suite C, Stockton, CA 95219 | 2015-03-05 |
| 1790180859 | Mary Karen Papagolos | Marriage & Family Therapist | 2800 W March Ln Ste 473, Stockton, CA 95219 | 2014-10-30 |
| 1932535648 | Morton Rothbard | Urology | 4673 Pine Valley Cir., Stockton, CA 95219 | 2013-09-26 |
| 1033482591 | Michelle M Rutherford | Physical Therapist | 10200 Trinity Pkwy Ste 205, Stockton, CA 95219 | 2012-02-14 |
| Find all providers in zip 95219 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295982734 | Guey C Mark M D Inc | General Practice | 1072 W. Monterey Avenue, Stockton, CA 95204-3031 | 2008-08-27 |
| 1306015458 | John Edward Newman IIi | General Practice | 1819 Maude St, Stockton, CA 95206-5709 | 2008-02-22 |
| 1912001363 | Ngac Tien Tran | General Practice | 1545 Saint Marks Plz, Suite 1c, Stockton, CA 95207-6411 | 2006-09-07 |
| 1639187552 | Harbhajan Singh Shergill | General Practice | 5345 N El Dorado, #3, Stockton, CA 95207-5848 | 2006-08-04 |
| 1396720355 | Maynard F. Lang | General Practice | 782 East Harding Way, Stockton, CA 95205-6101 | 2005-12-13 |
| 1932383924 | Toanhungtran Md Inc | General Practice | 4545 Georgetown Pl, C 16, Stockton, CA 95207-6215 | 2007-12-26 |
| 1902955859 | Bradley Donald Tourtlotte | General Practice | 3663 Arch Rd, Suite 400, Stockton, CA 95215-8315 | 2007-01-09 |
| 1164500773 | Toan Hung Tran | General Practice | 4545 Georgetown Pl, C16, Stockton, CA 95207-6215 | 2006-11-01 |
| 1932214517 | Dumrong Jirasut | General Practice | 75 W March Lane, Suite H, Stockton, CA 95207-5729 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992986 | Lindsay Fry | General Practice | 375 Bonair St Apt 1, La Jolla, CA 92037-5911 | 2020-11-04 |
| 1255939674 | Kiira Health Practice Ca PC | General Practice | 123 S Figueroa St Apt 1202, Los Angeles, CA 90012-5490 | 2020-10-16 |
| 1851999627 | Golden State Medical Center PC | General Practice | 2551 San Ramon Valley Blvd Ste 108, San Ramon, CA 94583-1661 | 2020-10-14 |
| 1598362709 | Afua Takyi | General Practice | 1555 River Park Dr Ste 211, Sacramento, CA 95815-4604 | 2020-10-01 |
| 1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
| 1376156109 | Gtl Medical Group Inc | General Practice | 14555 Hamlin St Ste 107, Van Nuys, CA 91411-1617 | 2020-08-31 |
| 1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
| 1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
| 1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
| 1568085041 | Integrated Advanced Medicine Inc | General Practice | 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on HENRY BAHGAT SELIM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.