Healthcare Provider Details

I. General information

NPI: 1669070801
Provider Name (Legal Business Name): DALIA GRAYEB HAMID
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2020
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 TATE SPRINGS RD
LYNCHBURG VA
24501-1109
US

IV. Provider business mailing address

200 W EDGE WAY APT 7306
LYNCHBURG VA
24502-5889
US

V. Phone/Fax

Practice location:
  • Phone: 434-200-3015
  • Fax:
Mailing address:
  • Phone: 954-850-1984
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPN.0996379
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9345511
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberCRNA715529
License Number StateGA
# 4
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number0024188840
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: