Provider Demographics
NPI:1235162165
Name:HAMED, AYMAN ABDEL (MD)
Entity Type:Individual
Prefix:DR
First Name:AYMAN
Middle Name:ABDEL
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 1:8108 PICARDY AVE
Mailing Address - Street 2:STE C
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-3514
Mailing Address - Country:US
Mailing Address - Phone:985-345-7246
Mailing Address - Fax:985-345-7249
Practice Address - Street 1:15784 MEDICAL ARTS DR
Practice Address - Street 2:STE. B
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-1446
Practice Address - Country:US
Practice Address - Phone:985-345-7246
Practice Address - Fax:985-345-7249
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA14909R208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1158071Medicaid
LA1158071Medicaid
H88930Medicare UPIN