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NPI Code Detail

MEDICARE: ABDELHAMED I ABDELHAMED MD

MEDICARE: ABDELHAMED I ABDELHAMED MD
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
1207RC0000XCardiovascular Disease Physician35-091723OH
2207RI0011XInterventional Cardiology Physician35091723OH

Other Identifiers

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

General Provider Information

NPI Number : 1164425443
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABDELHAMED I ABDELHAMED MD
Provider Business Mailing Address
First Line : 9000 N MAIN ST
Second Line : STE 101
City : DAYTON
State : OH
Zip : 45415-1180
Country : US
Telephone Number : 937-832-2425
Fax Number : 937-832-9804
Provider Business Practice Location Address
First Line : 9000 N MAIN ST
Second Line : STE 101
City : DAYTON
State : OH
Zip : 45415-1180
Country : US
Telephone Number : 937-832-2425
Fax Number : 937-832-9804
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 11/15/2013

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Directions to “ ABDELHAMED I ABDELHAMED MD” Practice Location

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