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NPI Code Detail

MEDICARE: DR. MOHAMED H. HAMZA MD

MEDICARE: DR. MOHAMED H. HAMZA 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
1208M00000XHospitalist Physician35069996OH
2207R00000XInternal Medicine Physician35069996OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100355198OTHEROHRR MEDICARE PIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
235069996OTHEROHOHIO LICENSE NUMBER

General Provider Information

NPI Number : 1720060940
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOHAMED H. HAMZA MD
Provider Business Mailing Address
First Line : 700 ACKERMAN RD STE 2120
Second Line :
City : COLUMBUS
State : OH
Zip : 43202-1559
Country : US
Telephone Number : 740-845-7000
Fax Number : 740-845-7701
Provider Business Practice Location Address
First Line : 210 N MAIN ST
Second Line :
City : LONDON
State : OH
Zip : 43140-1115
Country : US
Telephone Number : 740-845-7000
Fax Number : 740-845-7701
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2005
Last Update Date : 10/29/2024

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Directions to “ DR. MOHAMED H. HAMZA MD” Practice Location

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