Healthcare Provider Details

I. General information

NPI: 1750358131
Provider Name (Legal Business Name): OMAR LOUIS HAMADA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2006
Last Update Date: 10/05/2025
Certification Date: 10/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1062 CARLISLE LN
FRANKLIN TN
37064-4801
US

IV. Provider business mailing address

1062 CARLISLE LN
FRANKLIN TN
37064-4801
US

V. Phone/Fax

Practice location:
  • Phone: 615-598-0801
  • Fax: 615-661-7743
Mailing address:
  • Phone: 615-598-0801
  • Fax: 615-661-7743

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25858
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code207PE0005X
TaxonomyUndersea and Hyperbaric Medicine (Emergency Medicine) Physician
License Number25858
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number25858
License Number StateTN
# 4
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number25858
License Number StateTN
# 5
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number25858
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: