Provider Demographics
NPI:1437707304
Name:ABDULHAMED, AHMED MOHAMED GABER (FNP-BC)
Entity Type:Individual
Prefix:
First Name:AHMED
Middle Name:MOHAMED GABER
Last Name:ABDULHAMED
Suffix:
Gender:M
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6900 IRONGATE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23234-2843
Mailing Address - Country:US
Mailing Address - Phone:804-497-0191
Mailing Address - Fax:
Practice Address - Street 1:6900 IRONGATE DR
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23234-2843
Practice Address - Country:US
Practice Address - Phone:804-497-0191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-03
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024178182363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily