Provider Demographics
NPI:1578529244
Name:HAMMAD, W DAVID (MD)
Entity Type:Individual
Prefix:
First Name:W
Middle Name:DAVID
Last Name:HAMMAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:WAEL
Other - Middle Name:DAVID
Other - Last Name:HAMMAD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:285 BOULEVARD NE
Mailing Address - Street 2:STE 235
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30312
Mailing Address - Country:US
Mailing Address - Phone:404-525-0633
Mailing Address - Fax:404-525-8272
Practice Address - Street 1:285 BOULEVARD NE
Practice Address - Street 2:STE 235
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30312
Practice Address - Country:US
Practice Address - Phone:404-525-0633
Practice Address - Fax:404-525-8272
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA018808208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics