Provider Demographics
NPI:1952497372
Name:HAMWI, SHADI M (MD)
Entity Type:Individual
Prefix:DR
First Name:SHADI
Middle Name:M
Last Name:HAMWI
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 1:3800 RESERVOIR RD NW
Mailing Address - Street 2:DEPT OF NEPHROLOGY
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-2113
Mailing Address - Country:US
Mailing Address - Phone:202-444-9183
Mailing Address - Fax:877-625-1483
Practice Address - Street 1:3800 RESERVOIR RD NW
Practice Address - Street 2:DEPT OF NEPHROLOGY
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-2113
Practice Address - Country:US
Practice Address - Phone:202-444-9183
Practice Address - Fax:877-625-1483
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD33535207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC0002OtherCAREFIRST BCBS
380762OtherALLIANCE
MD64186501OtherCAREFIRST BCBS
8125063OtherMDIPA
DC034528100Medicaid
0402333OtherAARP
498424OtherNATIONAL CAPITAL-PPO
DCMD33535OtherMEDICAL LICENSE
P00102724OtherRAILROAD-MEDICARE
MD400309800Medicaid
7951461OtherAETNA-PPO
MDD0058390OtherMEDICAL LICENSE
113805OtherAMERIGROUP
0402333OtherUNITED HEALTHCARE
3604723OtherAETNA
3604723OtherAETNA
3604723OtherAETNA
MD64186501OtherCAREFIRST BCBS