MEDICARE: BASEM HAMID MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	35326	IA
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	M4132	TX
3	2084N0400X	Neurology Physician	M4132	TX
4	2084P2900X	Pain Medicine (Psychiatry & Neurology) Physician	M4132	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	35849	OTHER	IA	WELLMARK BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114918265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BASEM HAMID MD

Provider Business Mailing Address
First Line	:	11920 ASTORIA BLVD
Second Line	:	STE 130
City	:	HOUSTON
State	:	TX
Zip	:	77089-6097
Country	:	US
Telephone Number	:	281-922-0400
Fax Number	:

Provider Business Practice Location Address
First Line	:	11920 ASTORIA BLVD
Second Line	:	STE 130
City	:	HOUSTON
State	:	TX
Zip	:	77089-6097
Country	:	US
Telephone Number	:	281-922-0400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2005
Last Update Date	:	10/12/2021

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Directions to “ BASEM HAMID MD” Practice Location

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