Healthcare Provider Details

I. General information

NPI: 1124776265
Provider Name (Legal Business Name): ADVANCED MEDICAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2022
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 GATEWAY DR STE B
SLIDELL LA
70461-5598
US

IV. Provider business mailing address

310 GATEWAY DR STE B
SLIDELL LA
70461-5598
US

V. Phone/Fax

Practice location:
  • Phone: 504-544-9701
  • Fax: 985-288-0559
Mailing address:
  • Phone: 504-544-9701
  • Fax: 985-288-0559

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. HATEM FIKRY AHMED HAMED
Title or Position: OWNER
Credential: MD
Phone: 724-708-5577