Provider Demographics
NPI:1558043406
Name:HAMAD, KAMAR
Entity Type:Individual
Prefix:
First Name:KAMAR
Middle Name:
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 1:8070 CRIANZA PL APT 170
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-4074
Mailing Address - Country:US
Mailing Address - Phone:443-944-1196
Mailing Address - Fax:
Practice Address - Street 1:8070 CRIANZA PL APT 170
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-4074
Practice Address - Country:US
Practice Address - Phone:443-944-1196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-01
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program