Provider Demographics
NPI:1043226251
Name:HAMADEH, ZAHER (MD)
Entity Type:Individual
Prefix:DR
First Name:ZAHER
Middle Name:
Last Name:HAMADEH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 E 93RD ST APT 17F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-6105
Mailing Address - Country:US
Mailing Address - Phone:216-832-0664
Mailing Address - Fax:
Practice Address - Street 1:300 E 93RD ST APT 17F
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-6105
Practice Address - Country:US
Practice Address - Phone:216-832-0664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00046525207R00000X, 208M00000X
NY252345207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8462129Medicaid
WA8462129Medicaid
WAI62311Medicare UPIN