Provider Demographics
NPI:1053604918
Name:AL-SHUWAYKH, HARITH S HAMMOODI (MD)
Entity type:Individual
Prefix:MR
First Name:HARITH
Middle Name:S HAMMOODI
Last Name:AL-SHUWAYKH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3400 DATA DR
Mailing Address - Street 2:PHYSICIAN SUPPORT SERVICES
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-7956
Mailing Address - Country:US
Mailing Address - Phone:916-379-2948
Mailing Address - Fax:916-858-7065
Practice Address - Street 1:6501 COYLE AVENUE
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608
Practice Address - Country:US
Practice Address - Phone:916-537-5079
Practice Address - Fax:916-966-3189
Is Sole Proprietor?:No
Enumeration Date:2011-05-25
Last Update Date:2024-09-12
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Provider Licenses
StateLicense IDTaxonomies
CAA130669207R00000X, 208M00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program