Provider Demographics
NPI:1801411541
Name:BILLOW, HAMZA A
Entity Type:Individual
Prefix:
First Name:HAMZA
Middle Name:A
Last Name:BILLOW
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 BARCLAY ST
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55106-6501
Mailing Address - Country:US
Mailing Address - Phone:612-308-8252
Mailing Address - Fax:
Practice Address - Street 1:311 BARCLAY ST
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55106-6501
Practice Address - Country:US
Practice Address - Phone:612-308-8252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-09
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide