MEDICARE: RASHA SALAH HAMOUDA 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	207R00000X	Internal Medicine Physician	45538	KY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P01207504	OTHER	KY	RAILROAD MEDICARE
3	P01890808	OTHER	KY	RR MEDICARE (KOHMG)
4	K052355	OTHER	KY	KY MEDICARE (KOHMG)

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	:	1972737849
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RASHA SALAH HAMOUDA MD

Provider Business Mailing Address
First Line	:	4402 CREEKCROSSING DR
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40241-5510
Country	:	US
Telephone Number	:	301-760-8533
Fax Number	:

Provider Business Practice Location Address
First Line	:	103 S CHARTER RD APT F
Second Line	:
City	:	GLEN BURNIE
State	:	MD
Zip	:	21061-3161
Country	:	US
Telephone Number	:	301-760-8533
Fax Number	:

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

Provider Enumeration Date	:	05/07/2009
Last Update Date	:	10/24/2017

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