Provider Demographics
NPI:1225008071
Name:ABUHAMAD, ALFRED Z (MD)
Entity Type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:Z
Last Name:ABUHAMAD
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:PO BOX 936
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23501-0936
Mailing Address - Country:US
Mailing Address - Phone:757-446-7900
Mailing Address - Fax:757-624-2254
Practice Address - Street 1:825 FAIRFAX AVE
Practice Address - Street 2:SUITE 310
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507-1914
Practice Address - Country:US
Practice Address - Phone:757-446-7900
Practice Address - Fax:757-624-2254
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2015-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101048175207VM0101X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0683XOtherNC BC/BS
VAPAROtherCHAMPUS/TRICARE
VAPAROtherAETNA
VAPAROtherCORVEL/CORCARE
VAPAROtherCIGNA
VAPAROtherFIRST HEALTH COMMERCIAL/SOUTHERN HEALTHE/COVENTRY
VAPAROtherMULTIPLAN
VA092617OtherANTHEM
VAPAROtherVIRGINIA PREMIER HEALTH
VAPAROtherVIRGNINA HEALTH NETWORK
VA006230431Medicaid
VA14052OtherSENTARA OPTIMA
227478OtherUHC/MAMSI
VAPAROtherUSA MANAGED CARE
NC890683XMedicaid
VAPAROtherCIGNA
VAE91623Medicare UPIN
VA370004623Medicare PIN