Healthcare Provider Details

I. General information

NPI: 1437098282
Provider Name (Legal Business Name): HAMZA MOHABBAT
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7830 WORMANS MILL RD
FREDERICK MD
21701-3034
US

IV. Provider business mailing address

6602 MACKENZIE PL
IJAMSVILLE MD
21754-9701
US

V. Phone/Fax

Practice location:
  • Phone: 240-575-7345
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number30695
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: