MEDICARE: HUSAM HAMED M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	36543	KY
2	207Q00000X	Family Medicine Physician	35079659	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073550786
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HUSAM HAMED M.D.

Provider Business Mailing Address
First Line	:	3645 STONECREEK BLVD UNIT E
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45251-1469
Country	:	US
Telephone Number	:	513-687-0500
Fax Number	:	513-598-1107

Provider Business Practice Location Address
First Line	:	3035 HAMILTON MASON RD STE 203
Second Line	:
City	:	FAIRFIELD TOWNSHIP
State	:	OH
Zip	:	45011-5545
Country	:	US
Telephone Number	:	513-741-7200
Fax Number	:	513-741-1977

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	03/09/2021

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Directions to “ HUSAM HAMED M.D.” Practice Location

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