Provider Demographics
NPI:1215810684
Name:EL-HADDAD, HEBA MOSTAFA
Entity type:Individual
Prefix:
First Name:HEBA
Middle Name:MOSTAFA
Last Name:EL-HADDAD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3033 WILLIAMS RD
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-3340
Mailing Address - Country:US
Mailing Address - Phone:320-427-4748
Mailing Address - Fax:
Practice Address - Street 1:3003 SCOTT BLVD
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95054-3316
Practice Address - Country:US
Practice Address - Phone:855-554-2545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program