Healthcare Provider Details

I. General information

NPI: 1023955101
Provider Name (Legal Business Name): HAMID ALI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7520 MAPLE AVE
TAKOMA PARK MD
20912-4904
US

IV. Provider business mailing address

7520 MAPLE AVE
TAKOMA PARK MD
20912-4904
US

V. Phone/Fax

Practice location:
  • Phone: 202-390-0115
  • Fax:
Mailing address:
  • Phone: 202-390-0115
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHHA200006333
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: