MEDICARE: DR. RAED A HAMED 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
1	207RP1001X	Pulmonary Disease Physician	46321020	WI
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	46321	WI

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	:	1740241793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAED A HAMED MD

Provider Business Mailing Address
First Line	:	PO BOX 639
Second Line	:
City	:	THIENSVILLE
State	:	WI
Zip	:	53092-0639
Country	:	US
Telephone Number	:	414-247-9005
Fax Number	:	414-247-9004

Provider Business Practice Location Address
First Line	:	8500 W CAPITOL DR
Second Line	:	SUITE 202B
City	:	MILWAUKEE
State	:	WI
Zip	:	53222-1869
Country	:	US
Telephone Number	:	414-461-1133
Fax Number	:	414-461-1156

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

Provider Enumeration Date	:	03/30/2006
Last Update Date	:	12/21/2021

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Directions to “ DR. RAED A HAMED MD” Practice Location

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