Provider Demographics
NPI:1891241428
Name:KAKH HAMH, FERMAN
Entity Type:Individual
Prefix:MR
First Name:FERMAN
Middle Name:
Last Name:KAKH HAMH
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 1:1675 NIAGARA ST
Mailing Address - Street 2:SUITE 8
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14207-3106
Mailing Address - Country:US
Mailing Address - Phone:716-400-8570
Mailing Address - Fax:
Practice Address - Street 1:1675 NIAGARA ST
Practice Address - Street 2:SUITE 8
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14207-3106
Practice Address - Country:US
Practice Address - Phone:716-400-8570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTCB16-10036856344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi