Healthcare Provider Details

I. General information

NPI: 1588185482
Provider Name (Legal Business Name): ANAS HAMDI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2017
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2740 W MAIN ST
VISALIA CA
93291-4332
US

IV. Provider business mailing address

2740 W MAIN ST
VISALIA CA
93291-4332
US

V. Phone/Fax

Practice location:
  • Phone: 225-445-9778
  • Fax:
Mailing address:
  • Phone: 559-551-3599
  • Fax: 559-553-6663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberA176478
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2088F0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Urology) Physician
License NumberA176478
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code2088P0231X
TaxonomyPediatric Urology Physician
License NumberA176478
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: