Healthcare Provider Details

I. General information

NPI: 1649186727
Provider Name (Legal Business Name): ABDEL-RAHMAN KAMAL ALHAWAMDEH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BURNET AVENUE
CINCINNATI OH
45229
US

IV. Provider business mailing address

3333 BURNET AVENUE
CINCINNATI OH
45229
US

V. Phone/Fax

Practice location:
  • Phone: 513-802-4224
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number57.259789
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: