Provider Demographics
NPI:1386820157
Name:HAMED, NAGWA MOHAMED
Entity Type:Individual
Prefix:
First Name:NAGWA
Middle Name:MOHAMED
Last Name:HAMED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3101 S MANCHESTER ST
Mailing Address - Street 2:SUITE #519
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22044-2720
Mailing Address - Country:US
Mailing Address - Phone:202-441-2775
Mailing Address - Fax:703-933-1261
Practice Address - Street 1:3101 S MANCHESTER ST
Practice Address - Street 2:SUITE #519
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22044-2720
Practice Address - Country:US
Practice Address - Phone:202-441-2775
Practice Address - Fax:703-933-1261
Is Sole Proprietor?:No
Enumeration Date:2008-01-11
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAA62-44-4253172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver