Healthcare Provider Details

I. General information

NPI: 1225097611
Provider Name (Legal Business Name): CHAD J. HAMMAD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2006
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 S DOBSON RD
MESA AZ
85202-4707
US

IV. Provider business mailing address

2108 N ST STE 7314
SACRAMENTO CA
95816-5712
US

V. Phone/Fax

Practice location:
  • Phone: 480-626-4813
  • Fax: 480-445-9238
Mailing address:
  • Phone: 602-618-9126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number31815
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberA80163
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number31815
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: