Provider Demographics
NPI:1619961638
Name:ABU-HAMDA, EYAD MOHAMMAD (MDPC)
Entity Type:Individual
Prefix:DR
First Name:EYAD
Middle Name:MOHAMMAD
Last Name:ABU-HAMDA
Suffix:
Gender:M
Credentials:MDPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8316 ARLINGTON BLVD STE 310
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-5216
Mailing Address - Country:US
Mailing Address - Phone:703-208-2273
Mailing Address - Fax:703-208-1441
Practice Address - Street 1:8316 ARLINGTON BLVD STE 310
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-5216
Practice Address - Country:US
Practice Address - Phone:703-208-2273
Practice Address - Fax:703-208-1441
Is Sole Proprietor?:No
Enumeration Date:2005-09-06
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD46055207RC0200X
VA0101225495207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA009999787Medicaid
DC00B052E06Medicare ID - Type UnspecifiedDC MEDICARE
VA190000843Medicare ID - Type UnspecifiedVA MEDICARE
VA009999787Medicaid