Provider Demographics
NPI:1891809794
Name:NOUAIME, HICHAM S (MD)
Entity Type:Individual
Prefix:
First Name:HICHAM
Middle Name:S
Last Name:NOUAIME
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 BONNIE LN
Mailing Address - Street 2:
Mailing Address - City:WAQUOIT
Mailing Address - State:MA
Mailing Address - Zip Code:02536-4964
Mailing Address - Country:US
Mailing Address - Phone:508-292-3138
Mailing Address - Fax:
Practice Address - Street 1:27 PARK STREET
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601
Practice Address - Country:US
Practice Address - Phone:508-771-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2009-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2098232084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry