Provider Demographics
NPI:1851357586
Name:AL-HAMDA, AHMAD B (MD)
Entity Type:Individual
Prefix:DR
First Name:AHMAD
Middle Name:B
Last Name:AL-HAMDA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:330 SEVEN SPRINGS WAY
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5098
Mailing Address - Country:US
Mailing Address - Phone:615-920-7000
Mailing Address - Fax:615-920-8775
Practice Address - Street 1:203 AVALON AVE STE 200
Practice Address - Street 2:
Practice Address - City:MUSCLE SHOALS
Practice Address - State:AL
Practice Address - Zip Code:35661-2855
Practice Address - Country:US
Practice Address - Phone:256-980-6217
Practice Address - Fax:855-862-8474
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN365582084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3874806Medicaid
IN200941560Medicaid
TN3874806Medicaid
IN668120XMedicare PIN
3874806Medicare ID - Type Unspecified