Provider Demographics
NPI:1477308872
Name:HAMIED, TAYSEER
Entity Type:Individual
Prefix:
First Name:TAYSEER
Middle Name:
Last Name:HAMIED
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 1:635 STAYMAN WAY
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46074-6136
Mailing Address - Country:US
Mailing Address - Phone:304-276-5154
Mailing Address - Fax:
Practice Address - Street 1:1552 E WABASH ST
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IN
Practice Address - Zip Code:46041-2782
Practice Address - Country:US
Practice Address - Phone:767-659-3443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program