Healthcare Provider Details

I. General information

NPI: 1467506600
Provider Name (Legal Business Name): MOHAMMAD AHMAD HAMEED MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: M AHMAD HAMEED MD

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 03/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 NORTHEAST DR
HERSHEY PA
17033-2732
US

IV. Provider business mailing address

PO BOX 858
HERSHEY PA
17033-0858
US

V. Phone/Fax

Practice location:
  • Phone: 717-531-8338
  • Fax: 717-531-6250
Mailing address:
  • Phone: 800-243-1455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD403473
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierMD430473
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerPA STATE LICENSE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: