Provider Demographics
NPI:1205852803
Name:HAMDY, KAREEM ADEL (MD)
Entity Type:Individual
Prefix:
First Name:KAREEM
Middle Name:ADEL
Last Name:HAMDY
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 1:110 COMMONWEALTH BLVD W
Mailing Address - Street 2:
Mailing Address - City:MARTINSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24112-1832
Mailing Address - Country:US
Mailing Address - Phone:276-226-1210
Mailing Address - Fax:276-634-5017
Practice Address - Street 1:110 COMMONWEALTH BLVD W
Practice Address - Street 2:
Practice Address - City:MARTINSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24112-1832
Practice Address - Country:US
Practice Address - Phone:276-634-5003
Practice Address - Fax:276-634-5017
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-15
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA36741208600000X, 2086S0127X
VA0101241736208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA20192OtherWELLMARK BCBS
IA0729602Medicaid
VA304025OtherANTHEM
VA7371847OtherAETNA
VA0729602Medicaid
VA0101241736OtherSTATE LICENSE
VA1205852803Medicaid
VA260218343OtherCHAMPUS
VAC10224OtherMEDICARE PIN
IAP00335066OtherRAILROAD MEDICARE
VA11755873OtherCAQH
VA304025OtherANTHEM