MEDICARE: DR. MOHAMED A. HAMID MD, PHD

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	231H00000X	Audiologist	35-069345	OH
2	207YX0901X	Otology & Neurotology Physician	359069345	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	000000121472	OTHER	OH	ANTHEM

General Provider Information

NPI Number	:	1285628347
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOHAMED A. HAMID MD, PHD

Provider Business Mailing Address
First Line	:	29001 CEDAR ROAD
Second Line	:	SUITE 203
City	:	LYNDHURST
State	:	OH
Zip	:	44124-4062
Country	:	US
Telephone Number	:	440-684-9970
Fax Number	:	440-684-9971

Provider Business Practice Location Address
First Line	:	29001 CEDAR ROAD
Second Line	:	SUITE 203
City	:	LYNDHURST
State	:	OH
Zip	:	44124-4062
Country	:	US
Telephone Number	:	440-684-9970
Fax Number	:	440-684-9971

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

Provider Enumeration Date	:	09/06/2005
Last Update Date	:	06/09/2011

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