Provider Demographics
NPI:1558891770
Name:ABID, HAMZA (MS, RN, CNS)
Entity Type:Individual
Prefix:
First Name:HAMZA
Middle Name:
Last Name:ABID
Suffix:
Gender:M
Credentials:MS, RN, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:937 SHOREPOINT CT APT G302
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-5822
Mailing Address - Country:US
Mailing Address - Phone:415-818-4214
Mailing Address - Fax:
Practice Address - Street 1:937 SHOREPOINT CT APT G302
Practice Address - Street 2:
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-5822
Practice Address - Country:US
Practice Address - Phone:415-818-4214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-20
Last Update Date:2017-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95066122163WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0200XNursing Service ProvidersRegistered NurseOncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAVUC091M89959OtherANTHEM BLUECROSS