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NPI Code Detail

MEDICARE: DR. ADAM WALI HAMIDI D.O.

MEDICARE: DR. ADAM WALI HAMIDI D.O.
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
1207P00000XEmergency Medicine Physician58.003539OH
2207P00000XEmergency Medicine Physician0102203747VA
3207PE0004XEmergency Medical Services (Emergency Medicine) Physician51896SC
4208D00000XGeneral Practice Physician0102203747VA

General Provider Information

NPI Number : 1215241377
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADAM WALI HAMIDI D.O.
Provider Business Mailing Address
First Line : 12713 ELLINGTON WOODS PL
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23059-7088
Country : US
Telephone Number : 301-661-1145
Fax Number :
Provider Business Practice Location Address
First Line : 1900 ELECTRIC RD
Second Line :
City : SALEM
State : VA
Zip : 24153-7494
Country : US
Telephone Number : 301-661-1145
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2010
Last Update Date : 09/24/2025

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