Suhail I Hawatt MD

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

C37808 Issued in CA

Legal business name

SUHAIL I HAWATT MD

Practice address

23961 Calle de la Magdalena Ste 517
Laguna Hills, CA 92653-7628

Phone

(949) 830-4082

Fax

(949) 830-4344

NPI assigned

Oct 23, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Direndia Shackelford

Title

Managed Care Specialist

Phone

(800) 654-0889

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SUHAIL I HAWATT MD Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suhail Ibrahim Hawit, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Laguna Hills, CA
  • NPI 1538229224
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1174606404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23961 CALLE DE LA MAGDALENA STE 517",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23961 CALLE DE LA MAGDALENA STE 517",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537628",
            "telephone_number": "949-830-4082",
            "fax_number": "949-830-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUHAIL I HAWATT MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "SHACKELFORD",
        "authorized_official_first_name": "DIRENDIA",
        "authorized_official_title_or_position": "MANAGED CARE SPECIALIST",
        "authorized_official_telephone_number": "800-654-0889"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "C37808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5602102",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUHAIL I HAWATT MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacquelyn Stuckey
• Danise Rene Stys, LMFT
• Catherine Su, MD
• Daniel Su, M.D.
• Subbiah and Krishnan Medical Corporation
• Sukhu Medical Group Inc
• Piyanetr Sukhu, M.D.
• Kathleen Beatrice Sullivan, M.D.
• Monica Marie Sullivan, OTR
• Troy Sullivan, LMFT

• Non-Pharmacy Dispensing Site in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Non-Pharmacy Dispensing Site in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.