Healthcare Provider Details

I. General information

NPI: 1073450003
Provider Name (Legal Business Name): HAMAD AHMAD MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5107 SUMMER AVE
MEMPHIS TN
38122-4336
US

IV. Provider business mailing address

4772 NAVY RD STE A
MILLINGTON TN
38053-1957
US

V. Phone/Fax

Practice location:
  • Phone: 901-589-9460
  • Fax: 901-589-9461
Mailing address:
  • Phone: 901-589-9460
  • Fax: 901-589-9461

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: LINDA J WILLIAMS
Title or Position: OFFICE MANAGER
Credential:
Phone: 901-873-0930