Provider Demographics
NPI:1073801809
Name:HAMMAMI, MUHAMMAD BADER (MD)
Entity Type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:BADER
Last Name:HAMMAMI
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 1:9140 HAVEN AVE STE 115
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-5414
Mailing Address - Country:US
Mailing Address - Phone:909-606-4860
Mailing Address - Fax:
Practice Address - Street 1:9140 HAVEN AVE STE 115
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-5414
Practice Address - Country:US
Practice Address - Phone:909-606-4860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-14
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA131069207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology