MEDICARE: CAROLYN HAMMET, M.D. PC

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	174400000X	Specialist	D39966	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	40090001	OTHER	DC	BC/BS DC METRO
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	264118	OTHER	MD	UHC GROUP

General Provider Information

NPI Number	:	1306811609
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAROLYN HAMMET, M.D. PC

Provider Business Mailing Address
First Line	:	1835 UNIVERSITY BLVD E
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20783-4657
Country	:	US
Telephone Number	:	410-848-8202
Fax Number	:	410-848-2644

Provider Business Practice Location Address
First Line	:	1835 UNIVERSITY BLVD E
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20783-4600
Country	:	US
Telephone Number	:	410-848-8202
Fax Number	:	410-848-2644

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	CAROLYN HAMMETT
Credential	:	M.D.
Telephone Number	:	410-848-8202

Provider Enumeration Date	:	02/21/2006
Last Update Date	:	03/17/2011

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