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NPI Code Detail

MEDICARE: MOHAMMAD HAMIDI MBBS

MEDICARE: MOHAMMAD HAMIDI MBBS
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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician78196AZ
2390200000XStudent in an Organized Health Care Education/Training ProgramR77276AZ

General Provider Information

NPI Number : 1952864829
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHAMMAD HAMIDI MBBS
Provider Business Mailing Address
First Line : PO BOX 245058
Second Line :
City : TUCSON
State : AZ
Zip : 85724-5058
Country : US
Telephone Number : 520-626-7806
Fax Number : 520-626-2247
Provider Business Practice Location Address
First Line : 1625 N CAMPBELL AVE
Second Line :
City : TUCSON
State : AZ
Zip : 85719-4330
Country : US
Telephone Number : 520-694-0111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2019
Last Update Date : 02/09/2026

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