Provider Demographics
NPI:1457553588
Name:HAMID, EMAD HOSSEIN (MD, PHD)
Entity Type:Individual
Prefix:
First Name:EMAD
Middle Name:HOSSEIN
Last Name:HAMID
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20524 MASON OAK CT
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20165-3173
Mailing Address - Country:US
Mailing Address - Phone:202-909-3575
Mailing Address - Fax:
Practice Address - Street 1:OAKWOOD HOSPITAL MEDICAL CENTER
Practice Address - Street 2:18101 OAKWOOD BLVD.
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124
Practice Address - Country:US
Practice Address - Phone:313-593-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2022-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301088482208D00000X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice