MEDICARE: DR. HAMMAD REHMAN AMJAD D.M.D.

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	1223G0001X	General Practice Dentistry	DSO37292	PA

General Provider Information

NPI Number	:	1831345537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAMMAD REHMAN AMJAD D.M.D.

Provider Business Mailing Address
First Line	:	500 E GODFREY AVE
Second Line	:	SUITE B
City	:	PHILADELPHIA
State	:	PA
Zip	:	19120-2129
Country	:	US
Telephone Number	:	215-745-9100
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 E GODFREY AVE
Second Line	:	SUITE B
City	:	PHILADELPHIA
State	:	PA
Zip	:	19120-2129
Country	:	US
Telephone Number	:	215-745-9100
Fax Number	:

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

Provider Enumeration Date	:	08/13/2008
Last Update Date	:	08/13/2008

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