Provider Demographics
NPI:1043409659
Name:DR. ASMA AL-HAMID, P.C.
Entity Type:Organization
Organization Name:DR. ASMA AL-HAMID, P.C.
Other - Org Name:SAME AS ABOVE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ASMA
Authorized Official - Middle Name:
Authorized Official - Last Name:AL-HAMID
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-543-4301
Mailing Address - Street 1:106 PINE BLUFF RD
Mailing Address - Street 2:SUITE 12
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-7161
Mailing Address - Country:US
Mailing Address - Phone:410-543-4301
Mailing Address - Fax:
Practice Address - Street 1:106 PINE BLUFF RD
Practice Address - Street 2:SUITE 12
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-7161
Practice Address - Country:US
Practice Address - Phone:410-543-4301
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-19
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0052842207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDG86107Medicare UPIN