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1649370867

NPI Code Detail

MEDICARE: NIDAL HAMAME MD

MEDICARE: NIDAL HAMAME 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	207R00000X	Internal Medicine Physician	20717	NV
2	208M00000X	Hospitalist Physician	20717	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649370867
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NIDAL HAMAME MD

Provider Business Mailing Address
First Line	:	PO BOX 33269
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85067-3269
Country	:	US
Telephone Number	:	602-406-4786
Fax Number	:	916-636-4358

Provider Business Practice Location Address
First Line	:	3001 SAINT ROSE PKWY
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-3839
Country	:	US
Telephone Number	:	702-492-8592
Fax Number	:	702-492-8045

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

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	06/24/2026

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Directions to “ NIDAL HAMAME MD” Practice Location

Language	Start Address	Practice Location

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