Provider Demographics
NPI:1891836656
Name:HAMEED, HAROON IMRAN (MD)
Entity Type:Individual
Prefix:
First Name:HAROON
Middle Name:IMRAN
Last Name:HAMEED
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 1:1801 ROBERT FULTON DR STE 140
Mailing Address - Street 2:
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20191-4347
Mailing Address - Country:US
Mailing Address - Phone:202-600-6124
Mailing Address - Fax:
Practice Address - Street 1:1801 ROBERT FULTON DR STE 140
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20191-4347
Practice Address - Country:US
Practice Address - Phone:202-600-6124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101253515208100000X, 208VP0000X
MDD63269208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDI50865Medicare UPIN