MEDICARE: DR. EYAD MOHAMMAD ABU-HAMDA M.D.P.C.

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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	D46055	MD
2	207RP1001X	Pulmonary Disease Physician	0101225495	VA
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	0101225495	VA

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

General Provider Information

NPI Number	:	1619961638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EYAD MOHAMMAD ABU-HAMDA M.D.P.C.

Provider Business Mailing Address
First Line	:	8316 ARLINGTON BLVD STE 310
Second Line	:
City	:	FAIRFAX
State	:	VA
Zip	:	22031-5216
Country	:	US
Telephone Number	:	703-208-2273
Fax Number	:	703-208-1441

Provider Business Practice Location Address
First Line	:	8316 ARLINGTON BLVD STE 310
Second Line	:
City	:	FAIRFAX
State	:	VA
Zip	:	22031-5216
Country	:	US
Telephone Number	:	703-208-2273
Fax Number	:	703-208-1441

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

Provider Enumeration Date	:	09/06/2005
Last Update Date	:	09/06/2023

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