Provider Demographics
NPI:1245828169
Name:HAMAME, ANAS J
Entity type:Individual
Prefix:
First Name:ANAS
Middle Name:J
Last Name:HAMAME
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 1:1731 FOREST GREEN DR
Mailing Address - Street 2:
Mailing Address - City:CORAOPOLIS
Mailing Address - State:PA
Mailing Address - Zip Code:15108-2782
Mailing Address - Country:US
Mailing Address - Phone:734-717-9725
Mailing Address - Fax:
Practice Address - Street 1:1731 FOREST GREEN DR
Practice Address - Street 2:
Practice Address - City:CORAOPOLIS
Practice Address - State:PA
Practice Address - Zip Code:15108-2782
Practice Address - Country:US
Practice Address - Phone:734-717-9725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-06
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)