Healthcare Provider Details

I. General information

NPI: 1639523756
Provider Name (Legal Business Name): AWS S HAMID MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2016
Last Update Date: 10/21/2024
Certification Date: 10/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ONE HOSPITAL DR
COLUMBIA MO
65212-0001
US

IV. Provider business mailing address

1 HOSPITAL DR DEPARMENT OF RADIOLOGY
COLUMBIA MO
65212-1000
US

V. Phone/Fax

Practice location:
  • Phone: 573-882-1026
  • Fax: 573-884-4487
Mailing address:
  • Phone: 573-884-8299
  • Fax: 573-884-3052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number87058
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number2020026326
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number87058
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: