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MOKHTAR HACENA MD NPI 1861448110


NPI Information

NPI: 1861448110
Provider Name: MOKHTAR HACENA, MD
Classification: Internal Medicine - 207RA0201X
Entity Type: Individual

Specialization: Allergy & Immunology

PECOS Registration: Yes

CLIA Number: 11D1036594

Address:
2054 WATSON BLVD
WARNER ROBINS, GA
ZIP 31093
Phone: (478) 918-0770
Get Directions

Mokhtar Hacena, MD is an allergy and immunology internal medicine in Warner Robins, GA with 34 years of experience. The provider is an internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. Mokhtar Hacena, MD NPI is 1861448110. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2054 WATSON BLVD
WARNER ROBINS, GA
ZIP 31093-634
Phone: (478) 918-0770
Fax: (478) 918-0771

The NPI 1861448110 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 11D1036594 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 7/23/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RA0201XInternal MedicineAllergy & Immunology055062GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
111SCDVCMEDICARE ID-TYPE UNSPECIFIEDGEORGIA
2GRP4294MEDICARE PINGEORGIA
3P00332224OTHERGEORGIAMEDICARE RAILROAD#
4257348755BMEDICAIDGEORGIA
5H71865MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.