Healthcare Provider Details

I. General information

NPI: 1801424882
Provider Name (Legal Business Name): HAMZAH ADEL RAMAWAD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2020
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 41ST ST S
FARGO ND
58104-7783
US

IV. Provider business mailing address

2401 41ST ST S
FARGO ND
58104-7783
US

V. Phone/Fax

Practice location:
  • Phone: 701-551-6980
  • Fax:
Mailing address:
  • Phone: 701-551-6980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number22809
License Number StateND
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberPT22809
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: