Provider Demographics
NPI:1255627824
Name:HEMO, ELIYAHU (MD)
Entity type:Individual
Prefix:
First Name:ELIYAHU
Middle Name:
Last Name:HEMO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1002 SCHNEIDER DR STE 102
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:AR
Mailing Address - Zip Code:72104-4823
Mailing Address - Country:US
Mailing Address - Phone:501-332-1012
Mailing Address - Fax:501-332-7074
Practice Address - Street 1:1002 SCHNEIDER DR STE 102
Practice Address - Street 2:
Practice Address - City:MALVERN
Practice Address - State:AR
Practice Address - Zip Code:72104-4823
Practice Address - Country:US
Practice Address - Phone:501-332-1012
Practice Address - Fax:501-332-7074
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARE10499208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery