Healthcare Provider Details

I. General information

NPI: 1083352579
Provider Name (Legal Business Name): HAMZA UDDIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2022
Last Update Date: 05/24/2022
Certification Date: 05/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 UNIVERSITY BLVD
GALVESTON TX
77555-5303
US

IV. Provider business mailing address

3102 RUBY DR
TEXAS CITY TX
77591-1600
US

V. Phone/Fax

Practice location:
  • Phone: 409-772-1285
  • Fax:
Mailing address:
  • Phone: 135-575-4793
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: