Provider Demographics
NPI:1053689992
Name:HAMED, AHMED (MD)
Entity Type:Individual
Prefix:
First Name:AHMED
Middle Name:
Last Name:HAMED
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 1:222 E 93RD ST
Mailing Address - Street 2:APT. 11K
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-3744
Mailing Address - Country:US
Mailing Address - Phone:917-355-2440
Mailing Address - Fax:888-730-1925
Practice Address - Street 1:222 E 93RD ST
Practice Address - Street 2:APT. 11K
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-3744
Practice Address - Country:US
Practice Address - Phone:917-355-2440
Practice Address - Fax:888-730-1925
Is Sole Proprietor?:No
Enumeration Date:2011-12-07
Last Update Date:2016-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
RIMD14021207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program