Provider Demographics
NPI:1497435069
Name:HAMAD, SALHA OMAH SALEH
Entity Type:Individual
Prefix:
First Name:SALHA
Middle Name:OMAH SALEH
Last Name:HAMAD
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 1:3234 CHILLUM RD APT 102
Mailing Address - Street 2:
Mailing Address - City:MOUNT RAINIER
Mailing Address - State:MD
Mailing Address - Zip Code:20712-1058
Mailing Address - Country:US
Mailing Address - Phone:301-913-4336
Mailing Address - Fax:
Practice Address - Street 1:3234 CHILLUM RD APT 102
Practice Address - Street 2:
Practice Address - City:MOUNT RAINIER
Practice Address - State:MD
Practice Address - Zip Code:20712-1058
Practice Address - Country:US
Practice Address - Phone:301-913-4336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-19
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA200002914374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide